Organization Active NPI

Allcare Complete

  • Family Medicine Physician
  • Bradenton, FL
National Provider Identifier
1740959808
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ALLCARE COMPLETE
Practice address
5860 Ranch Lake Blvd
Suite 200
Bradenton, FL 34202
Phone
(941) 202-3888
Fax
(941) 236-5640
NPI assigned
Sep 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Derek Kamajian
Title
VP Operations
Phone
(941) 202-3888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5860 Ranch Lake Blvd
Suite 200
Bradenton, FL 34202

Mailing address

5860 Ranch Lake Blvd
Suite 200
Bradenton, FL 34202
Phone (941) 202-3888

National Provider Directory

National Provider Directory

Locations

14236 Tamiami Trl
Ste B
North Port, FL 34287
Phone (941) 200-4380

6305 Initiative Blvd
Sarasota, FL 34240
Phone (941) 200-6020

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEIADD

NPI Registry JSON

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1740959808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5860 RANCH LAKE BLVD",
            "address_2": "SUITE 200",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34202",
            "telephone_number": "941-202-3888",
            "fax_number": "941-236-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5860 RANCH LAKE BLVD",
            "address_2": "SUITE 200",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34202",
            "telephone_number": "941-202-3888",
            "fax_number": "941-236-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLCARE COMPLETE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-10",
        "last_updated": "2023-11-02",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "KAMAJIAN",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "941-202-3888"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.