NPIMap

Organization Active NPI

Lake Mary Walk-in Medical Center

  • Urgent Care Clinic/Center
  • Lake Mary, FL
National Provider Identifier
1821036484
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
121341 Issued in FL
Legal business name
LAKE MARY WALK-IN MEDICAL CENTER
Practice address
870 S Sun Dr
Suite 1030
Lake Mary, FL 32746-2057
Phone
(407) 333-0160
Fax
(407) 333-0108
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Authorized official

Name
Dr. Samuel Marcus Hopkins, M.D.NPI 1336137975
Title
President
Phone
(407) 333-0160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 121341 FL Primary

Addresses

Primary practice location

870 S Sun Dr
Suite 1030
Lake Mary, FL 32746-2057

Mailing address

870 S Sun Dr
Suite 1030
Lake Mary, FL 32746-2057
Phone (407) 333-0160

Other identifiers 1

IdentifierTypeStateIssuer
DB9538OtherFLMEDICARE RAILROAD

National Provider Directory

National Provider Directory

Locations

870 S Sun Dr
Ste 1030
Lake Mary, FL 32746
Phone (407) 333-0160

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1821036484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 S SUN DR",
            "address_2": "SUITE 1030",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462057",
            "telephone_number": "407-333-0160",
            "fax_number": "407-333-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 S SUN DR",
            "address_2": "SUITE 1030",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462057",
            "telephone_number": "407-333-0160",
            "fax_number": "407-333-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE MARY WALK-IN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "HOPKINS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "MARCUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-333-0160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "121341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DB9538",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.