Meadowcrest Healthcare Services LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MEADOWCREST HEALTHCARE SERVICES LLC

Practice address

512 N Lecanto Hwy
Lecanto, FL 34461-8547

Phone

(352) 795-0644

Fax

(352) 795-5950

NPI assigned

Apr 25, 2024

Organization subpart

Yes

Parent organization

MEADOWCREST FAMILY PHYSICIANS, P.A.As reported in NPPES

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

Authorized official

Name

Dr. Ryan Dickert, MD

Title

Owner

Phone

(352) 795-0644

Specialties & licenses 1

Addresses

Part of

Meadowcrest Family Physicians PA

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Meadowcrest Family Physicians, P.a.

  • Rural Health Clinic/Center
  • Lecanto, FL
  • NPI 1528881851

  Member Of

  NPD member

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1891541421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 N VANTAGE POINT DR",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344295736",
            "telephone_number": "352-795-0644",
            "fax_number": "352-795-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 N LECANTO HWY",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344618547",
            "telephone_number": "352-795-0644",
            "fax_number": "352-795-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWCREST HEALTHCARE SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEADOWCREST FAMILY PHYSICIANS, P.A.",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "DICKERT",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-795-0644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia June McGee, ARNP
• Andrew Spencer McGreevy, APRN, FNP-BC
• Tiffany McNeill, PTA
• Meadowcrest Family Physicians, P.a.
• Meadowcrest Healthcare Services LLC
• Medical Risk Solutions
• Vanessa Lynn Mellott, PHARM. D.
• Koanaki Mercado, RN
• Graciany Miranda Grajales, M.D.
• Michelle Lynn Mitchell, APRN

• Family Medicine Physician in Lecanto, FL
• Providers in Lecanto, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.