Organization Active NPI

Medcher Inc

Doing business as Joyful Heart Family Health Center

  • Family Medicine Physician
  • Lakeland, FL
National Provider Identifier
1629239660
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME070227 Issued in FL
Legal business name
MEDCHER INC
Doing business as
Joyful Heart Family Health Center
Practice address
1032 S Florida Ave
Lakeland, FL 33803-1118
Phone
(863) 802-5569
Fax
(863) 802-6844
NPI assigned
Jun 23, 2008
Last updated
Dec 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Authorized official

Name
Dr. Medardo Queg Santos, M.D.NPI 1285647123
Title
Medical Director
Phone
(863) 802-5569

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME070227 FL Primary

Addresses

Primary practice location

1032 S Florida Ave
Lakeland, FL 33803-1118

Mailing address

1032 S Florida Ave
Lakeland, FL 33803-1118
Phone (863) 802-5569

Other identifiers 1

IdentifierTypeStateIssuer
1629239660OtherFLNPI

Other names 1

  • JOYFUL HEART FAMILY HEALTH CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

1032 S Florida Ave
Lakeland, FL 33803
Phone (863) 802-5569

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1629239660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338031118",
            "telephone_number": "863-802-5569",
            "fax_number": "863-802-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338031118",
            "telephone_number": "863-802-5569",
            "fax_number": "863-802-6844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCHER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "MEDARDO",
        "authorized_official_middle_name": "QUEG",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "863-802-5569",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME070227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1629239660",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JOYFUL HEART FAMILY HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.