Old Town Medical Centers, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS9185 Issued in FL

Legal business name

OLD TOWN MEDICAL CENTERS, LLC

Practice address

540 Truman Ave
Key West, FL 33040-3141

Phone

(305) 394-1792

NPI assigned

Aug 27, 2014

Last updated

Aug 27, 2014By 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

Timothy Mackey, DONPI 1730235797

Title

Ap

Phone

(305) 394-1792

Specialties & licenses 3

Addresses

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.

• Timothy Wray Mackey, D.O.

  • Internal Medicine Physician
  • Key West, FL
  • NPI 1730235797
  Authorized official Same address or phone

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1982004933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 TRUMAN AVE",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330403141",
            "telephone_number": "305-394-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 TRUMAN AVE",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330403141",
            "telephone_number": "305-394-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD TOWN MEDICAL CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "MACKEY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "AP",
        "authorized_official_telephone_number": "305-394-1792",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9168222",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 51339",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS9185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Oconnell, ARNP, FNP-BC
• Andrew Louis Oconnor, PH.D.
• Paul Oien, PHARMD
• Priscilla Michelle Okeefe
• Old Town Community Health Center
• Robert M Olson, MD
• Mohamed Omar
• James Nelson Ong, D.M.D.
• Noah Opalsky
• Oppenheimer Eye Clinic, PA

• Internal Medicine Physician in Key West, FL
• Providers in Key West, 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 Aug 27, 2014; 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.