Wellington Primary Care LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WELLINGTON PRIMARY CARE LLC

Practice address

12959 Palms West Dr Ste 210
Loxahatchee, FL 33470-4940

Phone

(561) 334-8988

NPI assigned

Jul 5, 2020

Last updated

Jul 5, 2020By 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

Dr. Editha Pangan, MDNPI 1720165749

Title

Managing Member

Phone

(561) 334-8988

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• Editha Angelita Pangan, MD

  • Internal Medicine Physician
  • Wellington, FL
  • NPI 1720165749
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1593907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593907200000",
    "number": "1922625060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12959 PALMS WEST DR STE 210",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334704940",
            "telephone_number": "561-334-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12959 PALMS WEST DR STE 210",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334704940",
            "telephone_number": "561-334-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLINGTON PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-05",
        "last_updated": "2020-07-05",
        "certification_date": "2020-07-05",
        "status": "A",
        "authorized_official_last_name": "PANGAN",
        "authorized_official_first_name": "EDITHA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "561-334-8988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan D. Watson, DO
• Jeleannea N Watts, CRNA
• Rita Ann Weber, ARNP
• Wellington Medical Associates
• Wellington Medical Care Associates LLC
• Wellingtonmd, LLC (WellingtonMD)
• Todd Alan Welliver, M.D.
• Marvette West-Williams, CRNA
• Western Communities Chiropractic
• Arlene D White, PT

• Internal Medicine Physician in Loxahatchee, FL
• Providers in Loxahatchee, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2020; 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.