Organization Active NPI

Mark J. Pamer, D.O., L.L.C.

  • Pulmonary Disease Physician
  • Port Saint Lucie, FL
National Provider Identifier
1679716690
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
OS9475 Issued in FL
Legal business name
MARK J. PAMER, D.O., L.L.C.
Practice address
537 NW Lake Whitney PL Ste 103
Port Saint Lucie, FL 34986-1620
Phone
(772) 785-5864
Fax
(772) 344-2555
NPI assigned
Apr 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Authorized official

Name
Sarah Pamer
Title
Practice Manager
Phone
(772) 785-5864

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X OS9475 FL
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X OS9475 FL
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X OS9475 FL Primary

Addresses

Primary practice location

537 NW Lake Whitney PL Ste 103
Port Saint Lucie, FL 34986-1620

Mailing address

537 NW Lake Whitney PL Ste 103
Port Saint Lucie, FL 34986-1620
Phone (772) 785-5864

Other practice location 1

537 NW Lake Whitney Pl Ste 103
Port Saint Lucie, FL 34986-1620
Phone (772) 785-5864

Other practice location 2

537 NW Lake Whitney Pl Ste 103
Port Saint Lucie, FL 34986-1620
Phone (772) 785-5864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091013000053 FL Part B Supplier - Clinic/Group Practice 2062558612 Receives reassigned benefits from 3 practitioners
Practice locations: Port St Lucie, FL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1679716690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 NW LAKE WHITNEY PL STE 103",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349861620",
            "telephone_number": "772-785-5864",
            "fax_number": "772-344-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 NW LAKE WHITNEY PL STE 103",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349861620",
            "telephone_number": "772-785-5864",
            "fax_number": "772-344-2555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "537 NW Lake Whitney Pl Ste 103",
            "address_purpose": "LOCATION",
            "city": "Port Saint Lucie",
            "state": "FL",
            "postal_code": "349861620",
            "country_code": "US",
            "telephone_number": "772-785-5864",
            "fax_number": "772-344-2555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "537 NW Lake Whitney Pl Ste 103",
            "address_purpose": "LOCATION",
            "city": "Port Saint Lucie",
            "state": "FL",
            "postal_code": "349861620",
            "country_code": "US",
            "telephone_number": "772-785-5864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARK J. PAMER, D.O., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "PAMER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "772-785-5864"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS9475",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "OS9475",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "OS9475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; 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.