Active NPI
Laurie J Folkman, MD
- Family Medicine Physician
- Holiday, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME48476
- Practice address
- 2440 Mondale CT
Holiday, FL 34691-3114 - Phone
- (813) 245-2258
- NPI assigned
- Nov 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME48476 | FL | Primary |
Addresses
Primary practice location
2440 Mondale CT
Holiday, FL 34691-3114
Mailing address
2440 Mondale CT
Holiday, FL 34691-3114
Phone (813) 245-2258
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040122000126 | FL | Practitioner - Family Practice | 3274435177 | Reassigns benefits to 2 organizations |
| I20130813000871 | CO | Practitioner - Family Practice | 3274435177 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME48476 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suncoast Urgent Care Centers LLC | Current | Accepting new patients | |
| Bloom Colorado LLC | Current | Accepting new patients | |
| Synergic Healthcare Solutions LLC | Current | Accepting new patients | |
| Bloom Colorado LLC | Current | Accepting new patients | |
| Synergic Healthcare Solutions LLC | Current | Accepting new patients | |
| Tampa General Hospital | Current | Accepting new patients | |
| Synergic Healthcare Solutions LLC | Current | Accepting new patients | |
| Folmed | Past | Accepting new patients |
Locations
7130 N Academy Blvd
Colorado Springs, CO 80920
Phone (719) 762-1510
995 Independent Ave
Grand Junction, CO 81505
Phone (970) 609-2001
10730 State Road 54
#104106
New Prt Rchy, FL 34655
Phone (727) 372-3888
4112 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 684-3288
3301 W Gandy Blvd
Tampa, FL 33611
Phone (318) 925-1903
5504 Gateway Blvd
Wesley Chapel, FL 33544
Phone (813) 948-5400
16521 US 301 S
Wimauma, FL 33598
Phone (813) 844-4700
200 N Bryant Ave
Ste 10
Edmond, OK 73034
Interoperability endpoints
- lfolkman313834@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://api.platform.athenahealth.com/14213/brand/1/csg/1/fhir/r4
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Holiday, FL
- NPI 1770900722
-
- Urgent Care Clinic/Center
- Punta Gorda, FL
- NPI 1174336119
-
- General Practice Physician
- Wesley Chapel, FL
- NPI 1194198382
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Urgent Care Clinic/Center
- Colorado Springs, CO
- NPI 1679346621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393200000000",
"number": "1649451667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2440 MONDALE CT",
"city": "HOLIDAY",
"state": "FL",
"postal_code": "346913114",
"telephone_number": "813-245-2258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2440 MONDALE CT",
"city": "HOLIDAY",
"state": "FL",
"postal_code": "346913114",
"telephone_number": "813-245-2258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOLKMAN",
"first_name": "LAURIE",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-19",
"last_updated": "2014-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME48476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holiday, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.