Active NPI
Prime Care Medical, Inc.
- Primary Care Clinic/Center
- Naples, FL
National Provider Identifier
1770717381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- ME 103428
- Legal business name
- PRIME CARE MEDICAL, INC.
- Practice address
- 5621 Strand Blvd Ste 206
Naples, FL 34110-7303 - Phone
- (239) 591-5979
- Fax
- (239) 308-4547
- NPI assigned
- May 11, 2009
- Last updated
- Feb 16, 2018
- 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
- Sajid Wazir, M.D.
- Title
- President
- Phone
- (239) 591-5979
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | ME 103428 | FL | Primary |
Addresses
Primary practice location
5621 Strand Blvd Ste 206
Naples, FL 34110-7303
Mailing address
3876 Gibralter Dr
Naples, FL 34119-8647
Phone (239) 597-0190
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CS832A | Other | FL | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5621 Strand Blvd
Ste 206
Naples, FL 34110
Phone (239) 591-5979
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Kissimmee, FL
- NPI 1801040829
-
- Physician Assistant
- Redding, CA
- NPI 1063220986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242000000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1518739200000",
"number": "1770717381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3876 GIBRALTER DR",
"city": "NAPLES",
"state": "FL",
"postal_code": "341198647",
"telephone_number": "239-597-0190",
"fax_number": "239-597-7312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5621 STRAND BLVD STE 206",
"city": "NAPLES",
"state": "FL",
"postal_code": "341107303",
"telephone_number": "239-591-5979",
"fax_number": "239-308-4547"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIME CARE MEDICAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-11",
"last_updated": "2018-02-16",
"status": "A",
"authorized_official_last_name": "WAZIR",
"authorized_official_first_name": "SAJID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "239-591-5979",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "FL",
"license": "ME 103428",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "CS832A",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.