Nordquist Family Medical Center MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME103291 Issued in FL

Legal business name

NORDQUIST FAMILY MEDICAL CENTER MD PA

Practice address

1925 Don Wickham Dr
Clermont, FL 34711-1915

Phone

(352) 638-7900

Fax

(877) 444-2394

NPI assigned

Oct 4, 2011

Last updated

Oct 4, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Clay E Nordquist, MDNPI 1952546681

Title

President

Phone

(352) 638-7900

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

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

Practitioners 3

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.

• Clay Nordquist, M.D.

  • Family Medicine Physician
  • Clermont, FL
  • NPI 1952546681
  Medicare reassignment NPD Authorized official
• Cortney Roesch, MSN APRN FNP-BC

  • Adult Health Nurse Practitioner
  • Orlando, FL
  • NPI 1467161984
  Medicare reassignment NPD
• John R Moy, DPM

  • Primary Podiatric Medicine Podiatrist
  • Orlando, FL
  • NPI 1649251786
  NPD (past)

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1770867269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 DON WICKHAM DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111915",
            "telephone_number": "352-638-7900",
            "fax_number": "877-444-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 DON WICKHAM DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111915",
            "telephone_number": "352-638-7900",
            "fax_number": "877-444-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORDQUIST FAMILY MEDICAL CENTER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "NORDQUIST",
        "authorized_official_first_name": "CLAY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-638-7900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME103291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL MEDICAL LICENSE",
            "identifier": "ME103291",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ange Togba Nmah
• Riley Nogal
• Mirla Cristina Nolasco
• Sary Noncent
• Madeline Norckauer
• Clay Nordquist, M.D.
• Northstar Professional Group PA
• Juan C Nova, MD
• Coryn Novak, ATC, LAT
• Kevin D Nowicki, MD

• Family Medicine Physician in Clermont, FL
• Providers in Clermont, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.