NPIMap

Organization Active NPI

Primary Care & Geriatric Clinic Inc

  • Family Medicine Physician
  • Crystal River, FL
National Provider Identifier
1962760686
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME94778 Issued in FL
Legal business name
PRIMARY CARE & GERIATRIC CLINIC INC
Practice address
700 SE 5TH Ter
Ste 6
Crystal River, FL 34429-4878
Phone
(352) 794-6151
Fax
(352) 794-6138
NPI assigned
May 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

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

Authorized official

Name
Dr. Ghassan Hasan, M.D.
Title
President
Phone
(352) 794-6151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME94778 FL Primary

Addresses

Primary practice location

700 SE 5TH Ter
Ste 6
Crystal River, FL 34429-4878

Mailing address

700 SE 5TH Ter
Ste 6
Crystal River, FL 34429-4878
Phone (352) 794-6151

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1962760686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SE 5TH TER",
            "address_2": "STE 6",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294878",
            "telephone_number": "352-794-6151",
            "fax_number": "352-794-6138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SE 5TH TER",
            "address_2": "STE 6",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294878",
            "telephone_number": "352-794-6151",
            "fax_number": "352-794-6138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE & GERIATRIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "GHASSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-794-6151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME94778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.