MCR Health, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MCR HEALTH, INC.

Doing business as

Ama Sarasota

Practice address

2415 University Pkwy Ste 111
Sarasota, FL 34243-2809

Phone

(941) 359-3337

NPI assigned

Aug 15, 2018

Last updated

Sep 2, 2022By 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

Patrick Carnegie

Title

President and Ceo

Phone

(941) 776-4000

Specialties & licenses 2

Addresses

Other names 1

• AMA SARASOTA Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801376306. Details of each certification follow.

• CCN 681117 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 681117

Legal name

MCR HEALTH INC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Dec 20, 2017

Last certification

Dec 20, 2017

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Apr 11, 1978 in FL

Enrollment address

2415 University Pkwy
Ste 111
Sarasota, FL 34243-2809

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• MCR Health, Inc.

  dba South Manatee Pediatrics

  • Federally Qualified Health Center (FQHC)
  • Bradenton, FL
  • NPI 1386157584

  O20171220002567

  Same enrollment

Tax ID family

Manatee County Rur HLT130 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• MCR Health, Inc.

  • Family Medicine Physician
  • Sarasota, FL
  • NPI 1720366651
  NPD tax ID
• MCR Health, Inc.

  dba Fruitville Pharmacy

  • Pharmacy
  • Sarasota, FL
  • NPI 1720686355
  NPD tax ID
• MCR Health, Inc.

  dba North Manatee Family Behavioral Health Center

  • Community/Behavioral Health Agency
  • Palmetto, FL
  • NPI 1730014937
  NPD tax ID
• MCR Health, Inc.

  dba Health and Wellness Hudson

  • Family Medicine Physician
  • Hudson, FL
  • NPI 1730732405
  NPD tax ID
• MCR Health, Inc.

  dba River Landings OB/GYN

  • Obstetrics & Gynecology Physician
  • Bradenton, FL
  • NPI 1740574318
  NPD tax ID
• MCR Health, Inc.

  • Family Medicine Physician
  • Wauchula, FL
  • NPI 1750943692
  NPD tax ID
• MCR Health, Inc.

  dba MCR Health Cortez

  • Pediatrics Physician
  • Bradenton, FL
  • NPI 1760029607
  NPD tax ID
• MCR Health, Inc.

  dba Central Pharmacy

  • Specialty Pharmacy
  • Bradenton, FL
  • NPI 1770668188
  NPD tax ID
• MCR Health, Inc.

  • General Practice Physician
  • Arcadia, FL
  • NPI 1770964843
  NPD tax ID
• MCR Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Arcadia, FL
  • NPI 1770989683
  NPD tax ID
• MCR Health, Inc.

  dba Vision Mobile Bus

  • Federally Qualified Health Center (FQHC)
  • Parrish, FL
  • NPI 1780410241
  NPD tax ID
• MCR Health, Inc.

  dba Advanced Specialty Institute Pain Mgmt

  • Federally Qualified Health Center (FQHC)
  • Bradenton, FL
  • NPI 1790602795
  NPD tax ID

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Melvin Bernard Price, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Bradenton, FL
  • NPI 1841267424

  Corporate Officer, W-2 Managing Employee

  CMS ownership

All facility ownership & control disclosures 16

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1801376306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIVERFRONT BLVD STE 710",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058812",
            "telephone_number": "941-776-4000",
            "fax_number": "941-845-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 UNIVERSITY PKWY STE 111",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432809",
            "telephone_number": "941-359-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCR HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "CARNEGIE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "941-776-4000"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMA SARASOTA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• MCR Health, Inc. (MCR Health DME)
• MCR Health, Inc. (MCR Health Fruitville)
• MCR Health, Inc. (MCR Health Fruitville)
• MCR Health, Inc.
• MCR Health, Inc. (Fruitville Pharmacy)
• MCR Health, Inc. (MCR Health Fruitville Behavioral Health)
• MCR Health, Inc.
• MCR Health, Inc. (South Manatee Pediatrics)
• MCR Health, Inc.
• MCR Health, Inc.

• Internal Medicine Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.