Westside Samaritans Clinic Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

N12000000613-VHCPP Issued in FL

Legal business name

WESTSIDE SAMARITANS CLINIC INC

Practice address

10000 W Newberry Rd
Gainesville, FL 32606-5544

Phone

(352) 333-7700

Fax

(352) 333-9009

NPI assigned

May 23, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Roy Taylor Klossner, MD

Title

Director

Phone

(352) 333-7700

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386115200000",
    "number": "1851651988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 W NEWBERRY RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326065544",
            "telephone_number": "352-333-7700",
            "fax_number": "352-333-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 W NEWBERRY RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326065544",
            "telephone_number": "352-333-7700",
            "fax_number": "352-333-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE SAMARITANS CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2013-12-04",
        "status": "A",
        "authorized_official_last_name": "KLOSSNER",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "352-333-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "N12000000613-VHCPP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Westman
• Kearsten Westmoreland, PHARM. D.
• Ashley Isabellas Weston, RBT
• Rory Michael Weston, MD, PHD
• Jeffrey Paul Westra, DDS
• Greg Westwood, MD, PHD
• Sara Elizabeth Wetter
• Valerie Joy Weyenberg, MS, RD, LDN
• Raymond F Whal, RN
• Karen Lynn Whalen, PHARM.D., BCPS, CDE

• Multi-Specialty Clinic/Center in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; 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.