NPIMap

Organization Active NPI

Quality Urgent Care & Wellness PL

  • Urgent Care Clinic/Center
  • Fort Walton Beach, FL
National Provider Identifier
1861824013
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
QUALITY URGENT CARE & WELLNESS PL
Practice address
514 Mary Esther Cut Off NW
Fort Walton Beach, FL 32548-4025
Phone
(850) 226-8550
Fax
(850) 226-6712
NPI assigned
Jul 30, 2013
Last updated
Oct 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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

Authorized official

Name
Dr. Narendra K Gowda, M.D.NPI 1740232214
Title
Owner
Phone
(850) 226-8550

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 Primary

Addresses

Primary practice location

514 Mary Esther Cut Off NW
Fort Walton Beach, FL 32548-4025

Mailing address

514 Mary Esther Cut Off NW
Fort Walton Beach, FL 32548-4025
Phone (850) 226-8550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140618001717 FL Part B Supplier - Clinic/Group Practice 8628292448 Receives reassigned benefits from 31 practitioners
1 other NPI on this enrollment
Practice locations: Fort Walton Beach, FL; Pensacola, FL

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 31

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.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1861824013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 MARY ESTHER CUT OFF NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484025",
            "telephone_number": "850-226-8550",
            "fax_number": "850-226-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 MARY ESTHER CUT OFF NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484025",
            "telephone_number": "850-226-8550",
            "fax_number": "850-226-6712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY URGENT CARE & WELLNESS PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-30",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "GOWDA",
        "authorized_official_first_name": "NARENDRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-226-8550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.