Organization Active NPI

Town Center Research and Walk-in Clinic

  • Infectious Disease Physician
  • Orange City, FL
National Provider Identifier
1811449879
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME89341 Issued in FL
Legal business name
TOWN CENTER RESEARCH AND WALK-IN CLINIC
Practice address
955 Town Center Dr
Suite 200
Orange City, FL 32763-8255
Phone
(407) 435-9075
Fax
(386) 822-4192
NPI assigned
Oct 25, 2016
Last updated
Oct 31, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Authorized official

Name
Godson I Oguchi, MDNPI 1245200906
Title
President
Phone
(407) 435-9075

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ME89341 FL Primary

Addresses

Primary practice location

955 Town Center Dr
Suite 200
Orange City, FL 32763-8255

Mailing address

330 Markham Woods Rd
Longwood, FL 32779-2830
Phone (407) 435-9075

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1811449879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 MARKHAM WOODS RD",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327792830",
            "telephone_number": "407-435-9075",
            "fax_number": "386-822-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 TOWN CENTER DR",
            "address_2": "SUITE 200",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638255",
            "telephone_number": "407-435-9075",
            "fax_number": "386-822-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN CENTER RESEARCH AND WALK-IN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "OGUCHI",
        "authorized_official_first_name": "GODSON",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-435-9075",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME89341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.