PRIMECARE DOCTORS LLC (NPI# 1558726802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558726802 |
| Entity Type | Organization |
| Organization Name | PRIMECARE DOCTORS LLC |
| Practice Address |
9030 W Fort Island Trl Ste 1 Crystal River FL 34429-2412 |
| Mailing Address |
1214 Mariner Blvd Spring Hill FL 34609-5657 |
| Practice Telephone | 3522288906 |
| Practice Fax Number | 3522288905 |
| Mailing Telephone | 3527969994 |
| Mailing Fax Number | 3527969934 |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2016-09-12 |
| Authorized Official Name | PARIKSITH SINGH (OWNER) |
| Authorized Official Telephone | 3527969994 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME71088 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 016510400 | 05 | |
| FL | FLORIDA BCBS | 7Z3JB | 01 |
| FL | 016510401 | 05 |
| Street Address |
9030 W FORT ISLAND TRL STE 1 |
| City | CRYSTAL RIVER |
| State | FL |
| Zip Code | 34429-2412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245230259 | Evelyn Gonzalez-ortiz | Legal Medicine | 9030 W Fort Island Trl, Suite 1, Crystal River, FL 34429-2412 | 2005-08-01 |
| 1285049601 | Melania Elsner | Dentist | 9030 W Fort Island Trl, Crystal River, FL 34429-2412 | 2014-06-24 |
| 1326347816 | Irven Chiropractic Health Center,inc. | Chiropractor | 9030 W Fort Island Trl, Suite # 2, Crystal River, FL 34429-2412 | 2011-03-23 |
| 1982853677 | Cecilia Cruz Mueller | Physical Therapist | 9030 W Fort Island Trl, Suite 1, Crystal River, FL 34429-2412 | 2008-09-17 |
| 1215114244 | Robert S. Wane | Podiatrist | 9030 W Fort Island Trl, Suite #7, Crystal River, FL 34429-2412 | 2008-01-22 |
| 1417147638 | Donald H Pritchard Md Pa | Internal Medicine | 9030 W Fort Island Trl, Suite 3, Crystal River, FL 34429-2412 | 2007-07-25 |
| 1457449274 | Bettina A. Marks | Social Worker | 9030 W Fort Island Trl, Bldg. 8, Suite B, Crystal River, FL 34429-2412 | 2006-10-10 |
| 1558463158 | Lisa Schnell | Dentist | 9030 W Fort Island Trl, Suite 6, Crystal River, FL 34429-2412 | 2006-09-02 |
| 1730299736 | Richard Baker | Dentist | 9030 W Fort Island Trl, Suite 6, Crystal River, FL 34429-2412 | 2006-08-30 |
| 1649218694 | Kings Bay Family Care Pa | Family Medicine | 9030 W Fort Island Trl, Suite 1, Crystal River, FL 34429-2412 | 2006-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093324386 | Sydney M Mergler | Specialist/Technologist | 315 Ne 10th St, Crystal River, FL 34429 | 2020-07-23 |
| 1497255814 | Plantation Medical Care, Pa | Clinic/Center | 9030 W Fort Island Trl Ste 11b, Crystal River, FL 34429 | 2018-02-13 |
| 1356864599 | Jeri Leigh Anderson | Family Medicine | 6199 W. Gulf To Lake Hwy, Crystal River, FL 34429 | 2017-07-19 |
| 1982011706 | Bambi Ann Heyer | Nurse Practitioner | 659 Ne Hwy 19 Unit 1, Crystal River, FL 34429 | 2014-07-14 |
| 1982977120 | Life Soulutions | Community/Behavioral Health | 427 Ne 3rd St Ste C, Crystal River, FL 34429 | 2012-02-20 |
| 1073844296 | Richard C Swanson,dmd Pa | Clinic/Center | 1815 Se Hwy 19, Crystal River, FL 34429 | 2010-01-28 |
| 1710116520 | Albert M. Boholst | Surgery | 730 S.e. 5th Terrace, Crystal River, FL 34429 | 2009-07-14 |
| 1033353453 | Claire Annette Wirt | Mechanotherapist | 1925 Se Hwy 19, Crystal River, FL 34429 | 2009-04-29 |
| 1811134067 | John D. Hosner, D.d.s., P.a. | Dentist | 1118 N. Suncoast Blvd., Crystal River, FL 34429 | 2009-01-09 |
| 1396981528 | Meadowcrest Family Physicians, P.a. | Family Medicine | 1250 N Vantage Pt Dr, Crystal River, FL 34429 | 2008-12-17 |
| Find all providers in zip 34429 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184810384 | Eihab H Tawfik Md Pa | Internal Medicine | 7562 W. Gulf To Lake Highway, Crystal River, FL 34429 | 2007-09-20 |
| 1104895135 | Angela Acevedo | Internal Medicine | 6202 W Corporate Oaks Dr, Crystal River, FL 34429-2705 | 2006-03-14 |
| 1235131830 | Maher Z Hanna | Internal Medicine | 700 Se Terrace St. #5, Crystal River, FL 34429-4875 | 2005-08-12 |
| 1407850365 | Carlene A. Wilson | Internal Medicine | 6038 W Nordling Loop, Crystal River, FL 34429 | 2005-06-09 |
| 1124688411 | Tri County Medical Center LLC | Internal Medicine | 155 Se Us Highway 19, Crystal River, FL 34429-4838 | 2019-06-18 |
| 1447799945 | Crystal River Hma Physician Management LLC | Internal Medicine | 5915 W Gulf To Lake Hwy, Crystal River, FL 34429-7565 | 2017-02-16 |
| 1851793228 | Health Atlast Citrus Medical LLC | Internal Medicine | 2320 N Sunshine Path, Crystal River, FL 34428-5810 | 2014-09-17 |
| 1578728986 | Siddharth Mathur | Internal Medicine | 6410 W Gulf To Lake Hwy, Crystal River, FL 34429-7622 | 2008-07-24 |
| 1477711844 | Jorge Ruiz Llanes Md Pa | Internal Medicine | 700 Se 5th Ter, Suite 2, Crystal River, FL 34429-4878 | 2008-06-01 |
| 1417147638 | Donald H Pritchard Md Pa | Internal Medicine | 9030 W Fort Island Trl, Suite 3, Crystal River, FL 34429-2412 | 2007-07-25 |
| Find all providers in CRYSTAL RIVER | ||||
| City | CRYSTAL RIVER |
| Zip Code | 34429 |
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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.