Organization Active NPI

Medical Home Doctors

  • Geriatric Medicine (Family Medicine) Physician
  • Hudson, FL
National Provider Identifier
1760719439
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
MEDICAL HOME DOCTORS
Practice address
12336 Southbridge Ter
Hudson, FL 34669-5037
Phone
(908) 230-5458
Fax
(727) 857-4108
NPI assigned
Nov 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Authorized official

Name
Kindness Uzoho
Title
Owner
Phone
(908) 230-5458

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X Primary

Addresses

Primary practice location

12336 Southbridge Ter
Hudson, FL 34669-5037

Mailing address

12336 Southbridge Ter
Hudson, FL 34669-5037
Phone (908) 230-5458

National Provider Directory

National Provider Directory

Locations

2198 15th Ave S
St Petersburg, FL 33712
Phone (727) 803-6887

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1760719439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12336 SOUTHBRIDGE TER",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346695037",
            "telephone_number": "908-230-5458",
            "fax_number": "727-857-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12336 SOUTHBRIDGE TER",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346695037",
            "telephone_number": "908-230-5458",
            "fax_number": "727-857-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL HOME DOCTORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-17",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "UZOHO",
        "authorized_official_first_name": "KINDNESS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-230-5458"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.