Indian Rocks Medical Center Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

OS0007369 Issued in FL

Legal business name

INDIAN ROCKS MEDICAL CENTER INC

Practice address

12685 Ulmerton Rd
Largo, FL 33774-3603

Phone

(727) 593-8700

Fax

(727) 593-8701

NPI assigned

Jul 1, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samara L Vandergraff

Title

Office Manager

Phone

(727) 593-8700

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629075874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12685 ULMERTON RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337743603",
            "telephone_number": "727-593-8700",
            "fax_number": "727-593-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12685 ULMERTON RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337743603",
            "telephone_number": "727-593-8700",
            "fax_number": "727-593-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN ROCKS MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VANDERGRAFF",
        "authorized_official_first_name": "SAMARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "727-593-8700"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "OS0007369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Ihlenfeldt
• Imagine Orthodontic Studio PLLC
• Indian Oaks Incorporated
• Indian Rocks Assisted Living, Inc.
• Indian Rocks Family Chiropractic Inc.
• Individual & Family Services Inc
• Leann Sarah Infante, BCBA
• Jeffrey Broughton Ingalls, D.M.D.
• Willilam L Ingham, HIS
• Sharetta Lanor Ingram-Patterson

• Clinic/Center in Largo, FL
• Providers in Largo, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.