Dr. Audrey Lewerenz-Walsh Inc. Dba Family Doctors

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS4817 Issued in FL

Legal business name

DR. AUDREY LEWERENZ-WALSH INC. DBA FAMILY DOCTORS

Practice address

3303 Manatee Avenue West
Bradenton, FL 34205

Phone

(941) 748-8069

Fax

(941) 748-6609

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Audrey A Lewerenz-Walsh, D.O.

Title

Physician/Owner/President

Phone

(941) 748-8069

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1730243841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 MANATEE AVENUE WEST",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34205",
            "telephone_number": "941-748-8069",
            "fax_number": "941-748-6609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 MANATEE AVENUE WEST",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34205",
            "telephone_number": "941-748-8069",
            "fax_number": "941-748-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. AUDREY LEWERENZ-WALSH INC. DBA FAMILY DOCTORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "LEWERENZ-WALSH",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER/PRESIDENT",
        "authorized_official_telephone_number": "941-748-8069",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS4817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "82700",
            "identifier": "BCBS",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064822100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.