NPIMap

Organization Active NPI

Paramount Urgent Care Inc

  • Urgent Care Clinic/Center
  • Lady Lake, FL
National Provider Identifier
1891956397
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
ME81076 Issued in FL
Legal business name
PARAMOUNT URGENT CARE INC
Practice address
805 E CR 466
Lady Lake, FL 32159-0000
Phone
(352) 674-9218
Fax
(352) 259-6069
NPI assigned
Jun 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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

Authorized official

Name
Mr. Michael Andrew Humphrey, PA-CNPI 1164526737
Title
Co-Owner
Phone
(352) 674-9218

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X ME81076 FL
Urgent Care Clinic/Center 261QU0200X ME81076 FL Primary

Addresses

Primary practice location

805 E CR 466
Lady Lake, FL 32159-0000

Mailing address

805 E CR 466
Lady Lake, FL 32159-0000
Phone (352) 674-9218

Other identifiers 3

IdentifierTypeStateIssuer
061502100MedicaidFL
98811ROtherFLMEDICARE UNSPECIFIC
92811OtherFLBCBS

Other names 1

  • PARAMOUNT URGENT CARE INC Former legal business name

National Provider Directory

National Provider Directory

Locations

628 Cagan View Rd
Ste 34
Clermont, FL 34714
Phone (352) 242-1988

8972 Turkey Lake Rd
#A400
Orlando, FL 32819
Phone (352) 674-9218

Ownership & related parties

Subparts reporting this organization as parent 5

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472428800000",
    "number": "1891956397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 E CR 466",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321590000",
            "telephone_number": "352-674-9218",
            "fax_number": "352-259-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E CR 466",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321590000",
            "telephone_number": "352-674-9218",
            "fax_number": "352-259-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAMOUNT URGENT CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2016-08-29",
        "status": "A",
        "authorized_official_last_name": "HUMPHREY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "352-674-9218",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "ME81076",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "ME81076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061502100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UNSPECIFIC",
            "identifier": "98811R",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "92811",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARAMOUNT URGENT CARE INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lady Lake, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; 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.