Palm Beach Medical Clinic LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME9587 Issued in FL

Legal business name

PALM BEACH MEDICAL CLINIC LLC

Practice address

9123 N Military TRL
Suite 102
West Palm Beach, FL 33410-5990

Phone

(561) 630-9339

NPI assigned

Jun 26, 2007

Last updated

May 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Kwashie Woyome, M.D.,NPI 1750484077

Title

Chief Executive Officer Owner

Phone

(561) 584-4142

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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.

• Stephen K Woyome, M.D.

  • Internal Medicine Physician
  • West Palm Beach, FL
  • NPI 1750484077
  Medicare reassignment NPD Authorized official
• Nadir Ismat Ishag Osman, M.D, M.S

  • Neurology Physician
  • Jacksonville, FL
  • NPI 1942429485

  Single Specialty

  NPD (past)
• Edu Anthony Kirindongo, MD

  • Family Medicine Physician
  • Lake Park, FL
  • NPI 1629030747
  NPD (past)
• Karen Wisdom-Chambers, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • West Palm Beach, FL
  • NPI 1154612190
  NPD (past)
• Mary Teju Guest, M.D.

  • Family Medicine Physician
  • Jbsa Lackland, TX
  • NPI 1740228899
  NPD (past)

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1710183744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13833 WELLINGTON TRCE",
            "address_2": "E4-#204",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334142116",
            "telephone_number": "561-584-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9123 N MILITARY TRL",
            "address_2": "SUITE 102",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334105990",
            "telephone_number": "561-630-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "WOYOME",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "KWASHIE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER OWNER",
        "authorized_official_telephone_number": "561-584-4142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME9587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AH265",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Palm Beach Med-Care PA
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• Palm Beach Medical and Wellness
• Palm Beach Medical Group LLC
• Palm Beach Medical Institute PLLC
• Palm Beach Medical Partners LLC
• Palm Beach Medical Practitioners LLC
• Palm Beach Mobile Sonography Inc.

• Internal Medicine Physician in West Palm Beach, FL
• Providers in West Palm Beach, 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 May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.