Prime Care Injury Clinic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PRIME CARE INJURY CLINIC, LLC

Doing business as

Osteon Injury Center

Practice address

5100 US Highway 98 N
Lakeland, FL 33809-0534

Phone

(863) 859-5441

NPI assigned

Sep 23, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Asra Khan, D.C.

Title

Chiropractor

Phone

(832) 814-7929

Specialties & licenses 1

Addresses

Other names 1

• Osteon Injury Center Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Asra Unnisa-Khan Khaliq, D.C

  • Chiropractor
  • Lakeland, FL
  • NPI 1356887459
  Medicare reassignment NPD
• Reynaldo Pardo, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Jacksonville, FL
  • NPI 1639297328
  NPD (past)
• Paul M Romine, DC

  • Chiropractor
  • Lakeland, FL
  • NPI 1346207743
  NPD (past)

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1750052262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 US HIGHWAY 98 N",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338090534",
            "telephone_number": "863-859-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 US HIGHWAY 98 N",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338090534",
            "telephone_number": "863-859-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE INJURY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ASRA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "832-814-7929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asra@osteoncares.com",
            "affiliation": "N",
            "address_1": "5100 US Highway 98 N",
            "city": "Lakeland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338090534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Osteon Injury Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shawn Price, DO
• William Gerald Price, CST
• Christina Pridgen, CNA
• Jordan David Priebe, PTA
• Primary Medical Center of Lakeland, LLC
• Prime Health of Florida PA
• Prime Therapeutic Consulting & Services, LLC (Better Health Pharmacy and Wellness Center)
• Prime Therapeutic Consulting & Services, LLC (Better Health Pharmacy and Wellness Center)
• Prime Time Medical Transport LLC
• Duvern Primus Sr.

• Chiropractor in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.