St Cloud Physician Management LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ST CLOUD PHYSICIAN MANAGEMENT LLC

Practice address

1600 Budinger Ave
Suite D
Saint Cloud, FL 34769-6008

Phone

(407) 892-3387

NPI assigned

Jan 19, 2011

Organization subpart

Yes

Parent organization

HEALTH MANAGEMENT ASSOCIATES, INCAs reported in NPPES

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

Authorized official

Name

Mr. Stanley D McLemore

Title

Senior Vice President

Phone

(239) 598-3131

Specialties & licenses 1

Addresses

Other names 1

• St Cloud Medical Group Doing business as

Tax ID family

Convenient Care of St Cloud and Occupational Wellness and Lifestyle C4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• St Cloud Physician Management LLC

  • Urology Physician
  • Saint Cloud, FL
  • NPI 1659676260
  NPD tax ID
• St Cloud Physician Management LLC

  • Family Medicine Physician
  • Saint Cloud, FL
  • NPI 1669777264
  NPD tax ID
• St Cloud Physician Management LLC

  • Gynecology Physician
  • Saint Cloud, FL
  • NPI 1699070813
  NPD tax ID

Locations

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1982909115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5811 PELICAN BAY BLVD",
            "address_2": "SUITE 500",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082733",
            "telephone_number": "239-598-3131",
            "fax_number": "239-592-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 BUDINGER AVE",
            "address_2": "SUITE D",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696008",
            "telephone_number": "407-892-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CLOUD PHYSICIAN MANAGEMENT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH MANAGEMENT ASSOCIATES, INC",
        "enumeration_date": "2011-01-19",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "MCLEMORE",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "239-598-3131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Cloud Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St Cloud Opco LLC
• St Cloud Physician Management LLC
• St Cloud Physician Management LLC
• St Cloud Physician Management LLC
• St Cloud Physician Management LLC
• St. Cloud Eye Care
• St. Cloud Eye Center, Inc
• St. Cloud SLC Opco, LLC
• St. Cloud Smiles, Inc.
• St.Cloud Pharmacy & Wellness Center

• Internal Medicine Physician in Saint Cloud, FL
• Providers in Saint Cloud, 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 Jan 19, 2011; 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.