Convenience Urgent Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101243632 Issued in VA

Legal business name

CONVENIENCE URGENT CARE

Practice address

15521 Real Estate Ave
Suite 206
King George, VA 22485-5327

Phone

(347) 751-3641

NPI assigned

Oct 17, 2016

Last updated

Oct 17, 2016By 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

Jean LauroreNPI 1053578856

Title

MD

Phone

(347) 751-3641

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Jean Yves Laurore, MD

  • Pediatrics Physician
  • Sunrise, FL
  • NPI 1053578856
  Authorized official Same address or phone

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1801347695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W KENSINGTON CIR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15521 REAL ESTATE AVE",
            "address_2": "SUITE 206",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224855327",
            "telephone_number": "347-751-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVENIENCE URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "LAURORE",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "347-751-3641"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101243632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Precious Coleman
• Ava Liadan Combs
• Carrie Morton Combs, MSN, APRN FNP-C
• Commonwealth of Virginia State Board of Health (King George Health Department)
• Community Dental Inc
• Michael Joseph Costa, M.D.
• Richard W Cottrell, D D S P C
• Sharon Cross, LCSW
• Jennifer Ellen Crossman, LDO
• Jacqueline Marie Dahl, FNP

• Family Medicine Physician in King George, VA
• Providers in King George, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.