Active NPI
Mracek Family & Internal Clinic LLC
Doing business as Mfic
- Internal Medicine Physician
- Wetumpka, AL
National Provider Identifier
1730904947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MRACEK FAMILY & INTERNAL CLINIC LLC
- Doing business as
- Mfic
- Practice address
- 807 Jackson Trace Rd
Wetumpka, AL 36092-1504 - Phone
- (334) 567-3150
- NPI assigned
- Nov 21, 2024
- Last updated
- Nov 21, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Suzanne Mracek Vernon
- Title
- Owner
- Phone
- (334) 567-3150
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
807 Jackson Trace Rd
Wetumpka, AL 36092-1504
Mailing address
807 Jackson Trace Rd
Wetumpka, AL 36092-1504
Phone (334) 567-3150
Other names 1
- MFIC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732147200000",
"number": "1730904947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 JACKSON TRACE RD",
"city": "WETUMPKA",
"state": "AL",
"postal_code": "360921504",
"telephone_number": "334-567-3150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 JACKSON TRACE RD",
"city": "WETUMPKA",
"state": "AL",
"postal_code": "360921504",
"telephone_number": "334-567-3150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MRACEK FAMILY & INTERNAL CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-21",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A",
"authorized_official_last_name": "VERNON",
"authorized_official_first_name": "SUZANNE",
"authorized_official_middle_name": "MRACEK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "334-567-3150"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MFIC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wetumpka, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.