Active NPI
MCR Health, Inc.
- Surgery Physician
- Bradenton, FL
National Provider Identifier
1952331878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- MCR HEALTH, INC.
- Doing business as
- LAKEWOOD RANCH HEALTHCARE CENTER
- Practice address
- 8340 Lakewood Ranch Blvd
Suite 300
Bradenton, FL 34202-5180 - Phone
- (941) 316-8200
- Fax
- (941) 708-8893
- NPI assigned
- Jul 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Patrick Carnegie
- Title
- President/Ceo
- Phone
- (941) 776-4000
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | |||
| Surgery Physician | 208600000X | Primary | ||
| Foot & Ankle Surgery Podiatrist | 213ES0103X |
Addresses
Primary practice location
8340 Lakewood Ranch Blvd
Suite 300
Bradenton, FL 34202-5180
Mailing address
101 Riverfront Blvd Ste 710
Bradenton, FL 34205-8812
Phone (941) 776-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 029561222 | Medicaid | FL |
Other names 1
- LAKEWOOD RANCH HEALTHCARE CENTER
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662076800000",
"number": "1952331878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 RIVERFRONT BLVD STE 710",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342058812",
"telephone_number": "941-776-4000",
"fax_number": "941-845-4963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8340 LAKEWOOD RANCH BLVD",
"address_2": "SUITE 300",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342025180",
"telephone_number": "941-316-8200",
"fax_number": "941-708-8893"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCR HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-04",
"last_updated": "2022-09-02",
"certification_date": "2022-09-02",
"status": "A",
"authorized_official_last_name": "CARNEGIE",
"authorized_official_first_name": "PATRICK",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "941-776-4000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "029561222",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LAKEWOOD RANCH HEALTHCARE CENTER",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "LAKEWOOD RANCH HEALTHCARE CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.