NPIMap

Organization Active NPI

Urgent Care Physicians of Country Walk LLC

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1689838849
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
URGENT CARE PHYSICIANS OF COUNTRY WALK LLC
Practice address
13500 SW 152ND St
Miami, FL 33177-1111
Phone
(786) 596-4300
NPI assigned
Jul 16, 2008
Last updated
Feb 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Authorized official

Name
David Raymond Nateman, MDNPI 1568490266
Title
Owner
Phone
(786) 888-8820

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

13500 SW 152ND St
Miami, FL 33177-1111

Mailing address

PO Box 162848
Altamonte Springs, FL 32716-2848
Phone (786) 888-8820

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090402000220 FL Part B Supplier - Clinic/Group Practice 6204990385 Receives reassigned benefits from 90 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 99

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.

View all 99

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1689838849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 162848",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327162848",
            "telephone_number": "786-888-8820",
            "fax_number": "786-591-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 SW 152ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331771111",
            "telephone_number": "786-596-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE PHYSICIANS OF COUNTRY WALK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "NATEMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-888-8820",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.