Certmedicals Walk in Clinic and Wound Care PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CERTMEDICALS WALK IN CLINIC AND WOUND CARE PLLC

Practice address

917 Rinehart Rd Ste 2041
Lake Mary, FL 32746-4806

Phone

(321) 926-3649

Fax

(321) 926-3651

NPI assigned

Mar 9, 2021

Organization subpart

No

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

Authorized official

Name

Judepatricks M Onyema, MDNPI 1891960100

Title

President

Phone

(321) 926-3649

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Judepatricks M Onyema, MD

  • Internal Medicine Physician
  • Lake Mary, FL
  • NPI 1891960100
  Medicare reassignment NPD Authorized official
• Edward Diaz Jr., APRN, FNP-BC

  • Family Nurse Practitioner
  • Altamonte Springs, FL
  • NPI 1225758337
  Medicare reassignment NPD

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1639764871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 RINEHART RD STE 2041",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464806",
            "telephone_number": "321-926-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 RINEHART RD STE 2041",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464806",
            "telephone_number": "321-926-3649",
            "fax_number": "321-926-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTMEDICALS WALK IN CLINIC AND WOUND CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "ONYEMA",
        "authorized_official_first_name": "JUDEPATRICKS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-926-3649",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Florida Spine Joint and Muscle Center
• Central Florida Urology Associates
• Central Florida Wellness LLC
• Central Parc Wellness
• Annissa Cerget
• Balinder S Chahal, M.D.
• J'Mia Alisha Challenger
• Meghan Chamberlain, DPT
• Venlisia Chambers
• Alain Anthony Chamoun, D.O.

• Internal Medicine Physician in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.