McIver Urological Clinic Pathology

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MCIVER UROLOGICAL CLINIC PATHOLOGY

Practice address

1314 Sumter St
Suite 110
Leesburg, FL 34748-6385

Phone

(904) 355-6583

Fax

(904) 355-4922

NPI assigned

Oct 1, 2007

Last updated

Oct 1, 2007By 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

John R Whittaker, M.D.NPI 1457492209

Title

President

Phone

(904) 355-6583

Specialties & licenses 1

Addresses

Tax ID family

McIver Urological Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• McIver Urological Clinic

  • Urology Physician
  • Jacksonville, FL
  • NPI 1922063924
  NPD tax ID

Locations

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.

• John Roger Whittaker, MD

  • Urology Physician
  • Jacksonville, FL
  • NPI 1457492209
  Authorized official Same address or phone

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1881881159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 LOMAX ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044004",
            "telephone_number": "904-355-6583",
            "fax_number": "904-355-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 SUMTER ST",
            "address_2": "SUITE 110",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486385",
            "telephone_number": "904-355-6583",
            "fax_number": "904-355-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCIVER UROLOGICAL CLINIC PATHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "WHITTAKER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-355-6583",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Irving McDonald, P.T.
• Terri Lynn McDonald, LCSW
• Ruby Zelphia McGee
• Michael Francis McGinnity, PA-C
• Angelica Christine McIntyre, P.T.A
• Kitania McKinnon, IBCLC
• Tiara Alexis McKiver
• Dionne L McKnight, COTA
• Jamaal A McLeod, D.O.
• John Laird McMullen III, MD

• Clinical Medical Laboratory in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.