MCR HEALTH, INC. (NPI# 1083246359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083246359 |
| Entity Type | Organization |
| Organization Name | MCR HEALTH, INC. |
| Other Organization Name | MCR HEALTH VENICE PEDIATRICS |
| Practice Address |
119 Shamrock Blvd Venice FL 34293-1630 |
| Mailing Address |
700 8th Ave W Ste 101 Palmetto FL 34221-4737 |
| Practice Telephone | 9417764000 |
| Mailing Telephone | 9417764000 |
| Mailing Fax Number | 9418454963 |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-03-04 |
| Authorized Official Name | PATRICK CARNEGIE (PRESIDENT/CEO) |
| Authorized Official Telephone | 9417764000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| MCR Health Venice Pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720686355 | Mcr Health, Inc. | Clinic/Center | 170 N Lime Ave, Sarasota, FL 34237-6122 | 2020-10-15 |
| 1477191658 | Mcr Health, Inc. | Family Medicine | 1148 E Gibson St Bldg C, Arcadia, FL 34266-5011 | 2019-12-18 |
| 1548810211 | Mcr Health, Inc. | Dentist | 3501 Cortez Rd W Ste 7, Bradenton, FL 34210-3196 | 2019-09-16 |
| 1063069268 | Mcr Health, Inc. | Clinic/Center | 6040 Sr 70 E, Bradenton, FL 34203 | 2019-08-22 |
| 1346893328 | Mcr Health, Inc. | Family Medicine | 5117 Madison St, New Port Richey, FL 34652-4312 | 2019-07-19 |
| 1346893260 | Mcr Health, Inc. | Internal Medicine | 20360 Gator Ln Bldg 14, Land O Lakes, FL 34638-2802 | 2019-07-19 |
| 1144618703 | Mcr Health, Inc. | Clinic/Center | 707 N 12th Ave, Arcadia, FL 34266-8752 | 2015-01-06 |
| 1831406321 | Mcr Health, Inc. | Durable Medical Equipment & Medical Supplies | 1731 1st St, Bradenton, FL 34208-3501 | 2010-09-07 |
| 1982929709 | Mcr Health, Inc. | Family Medicine | 1945 Northgate Blvd, Sarasota, FL 34234-2143 | 2010-04-05 |
| 1255663126 | Mcr Health, Inc. | Family Medicine | 1649 1st St, Bradenton, FL 34208-3231 | 2010-02-03 |
| Street Address |
119 SHAMROCK BLVD |
| City | VENICE |
| State | FL |
| Zip Code | 34293-1630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982613337 | Milagros M Seguerra-doctora | Pediatrics | 119 Shamrock Blvd, Venice, FL 34293 | 2006-08-05 |
| 1407485873 | Mcr Health, Inc. | Pediatrics | 119 Shamrock Blvd, Venice, FL 34293-1630 | 2020-04-07 |
| 1295388239 | Mcr Health, Inc. | Family Medicine | 119 Shamrock Blvd, Venice, FL 34293-1630 | 2019-07-18 |
| 1477886737 | Mila Seguerra-doctura Md Pa | Pediatrics | 119 Shamrock Blvd, Venice, FL 34293-1630 | 2009-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700485729 | Wylan Bernitt | Dentist | 1215 Mercado Dr, Venice, FL 34293 | 2020-10-21 |
| 1841847720 | Joseph Matthew Adkins | Nurse Practitioner | 417 Lake of The Woods Dr, Venice, FL 34293 | 2019-08-24 |
| 1861047375 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 12165 Mercado Drive, Venice, FL 34293 | 2019-08-02 |
| 1265084107 | Safecare Transport, LLC | Non-emergency Medical Transport (VAN) | 18821 Bianchi Strret, Venice, FL 34293 | 2019-07-11 |
| 1932621869 | Mike Andry | Hearing Instrument Specialist | 4238 S. Tamiami Trail, Venice, FL 34293 | 2017-07-12 |
| 1659729861 | Danielle Gibellina | Occupational Therapy Assistant | 1507 S. Tuttle Ave, Magnolia Rehabilitation Center, Sarasota, FL 34293 | 2016-05-27 |
| 1891142501 | Jessica Kontoes | Behavioral Analyst | 19503 West Villages Parkway, A11, Venice, FL 34293 | 2016-05-23 |
| 1093161770 | Jillian Hinds | Behavioral Analyst | 19503 West Villages Pkwy, A11, Venice, FL 34293 | 2016-05-11 |
| 1003211509 | Roselle Joyce Beltran | Physical Therapist | 5865 Osprey Road, Venice, FL 34293 | 2014-10-27 |
| 1144649799 | Wendy Zinck-ladd | Case Manager/Care Coordinator | 19503 S.w.villages Parkway, Bldg. A, North Port, FL 34293 | 2014-04-10 |
| Find all providers in zip 34293 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053854836 | Venice Family Clinic | Clinic/Center | 2469 Lincoln Blvd, Venice, CA 90291-5040 | 2016-11-28 |
| 1932479243 | Venice Family Clinic | Clinic/Center | 604 Rose Ave, Venice, CA 90291-2767 | 2012-01-03 |
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| 1720686355 | Mcr Health, Inc. | Clinic/Center | 170 N Lime Ave, Sarasota, FL 34237-6122 | 2020-10-15 |
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| 1750919791 | City of Dunedin | Clinic/Center | 1042 Virginia St, Dunedin, FL 34698-7325 | 2020-03-27 |
| 1407481039 | Primary Care Medical Services of Poinciana Inc | Clinic/Center | 4303 Cameron Preserve Cir, Kissimmee, FL 34746-6304 | 2020-03-04 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.