NPIMap

Organization Active NPI

Baptist Health Medical Group Upper Keys, LLC

  • Internal Medicine Physician
  • Tavernier, FL
National Provider Identifier
1902569452
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BAPTIST HEALTH MEDICAL GROUP UPPER KEYS, LLC
Practice address
91550 Overseas Hwy Ste 207
Tavernier, FL 33070-2513
Phone
(786) 595-8080
NPI assigned
Oct 20, 2021
Last updated
Oct 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Authorized official

Name
Matthew Arsenault
Title
Cfo
Phone
(786) 662-7111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

91550 Overseas Hwy Ste 207
Tavernier, FL 33070-2513

Mailing address

PO Box 100707
Atlanta, GA 30384-0707

National Provider Directory

National Provider Directory
Tax ID family
Baptist Health Medical Group Upper Keys LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1902569452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100707",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303840707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91550 OVERSEAS HWY STE 207",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330702513",
            "telephone_number": "786-595-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST HEALTH MEDICAL GROUP UPPER KEYS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "ARSENAULT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "786-662-7111"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tavernier, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.