PRIME MD LLC (NPI# 1952538167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952538167 |
| Entity Type | Organization |
| Organization Name | PRIME MD LLC |
| Practice Address |
10115 W Forest Hill Blvd Suite 102 Wellington FL 33414-3105 |
| Mailing Address |
1650 S Congress Ave Suite B Palm Springs FL 33461-2175 |
| Practice Telephone | 5615883385 |
| Mailing Telephone | 5615883385 |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2012-04-13 |
| Authorized Official Name | DR. MANUEL ANTONIO PAREDES (PHYSICIAN OWNER-SHAREHOLDER) |
| Authorized Official Telephone | 5615883385 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558540161 | Prime Md LLC | Community Based Residential Treatment Facility, Mental Illness | 5005 Signal Bell Ln, Suite 202, Clarksville, MD 21029-2606 | 2007-10-31 |
| Street Address |
10115 W FOREST HILL BLVD SUITE 102 |
| City | WELLINGTON |
| State | FL |
| Zip Code | 33414-3105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073518130 | Lawrence Russell Bergman | Pediatrics | 10115 W Forest Hill Blvd, Ste 303, Wellington, FL 33414-3102 | 2005-06-16 |
| 1710289780 | Western Surgical Specialists Pa | Surgery | 10115 W Forest Hill Blvd, Suite 302, Wellington, FL 33414-3105 | 2010-11-24 |
| 1588838742 | Andrew J Shapiro Md Pa | Surgery | 10115 W Forest Hill Blvd, Suite 405, Wellington, FL 33414-3105 | 2008-04-18 |
| 1861689192 | Joan Katherine Wahl | Physician Assistant | 10115 W Forest Hill Blvd, Suite 100, Wellington, FL 33414-3105 | 2007-10-01 |
| 1821284316 | Palm Beach Podiatric Center | Podiatrist | 10115 W Forest Hill Blvd, Suite 302, Wellington, FL 33414-3105 | 2007-09-19 |
| 1417075326 | Sandra E. Aneti | Internal Medicine | 10115 W Forest Hill Blvd, Suite 200, Wellington, FL 33414-3105 | 2007-03-27 |
| 1962547109 | Jeffrey Carl Lerner | Podiatrist | 10115 W Forest Hill Blvd, Suite 302, Wellington, FL 33414-3105 | 2007-02-21 |
| 1689742157 | South Florida Center of Gastroenterology | Internal Medicine | 10115 W Forest Hill Blvd, Suite 100, Wellington, FL 33414-3105 | 2006-12-01 |
| 1003909888 | Gastrocare, LLP | Internal Medicine | 10115 W Forest Hill Blvd, Suite 100, Wellington, FL 33414-3105 | 2006-10-02 |
| 1487760856 | David G. Simon | Dentist | 10115 W Forest Hill Blvd, Suite 301, Wellington, FL 33414-3105 | 2006-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707247 | Juana Maria Gonzales | Home Health | 2766 Penhall Ct, Wellington, FL 33414 | 2020-10-09 |
| 1821601089 | Wellington Rehab and Health Center, LLC | Skilled Nursing Facility | 10330 Nu Vista Ave, Wellington, FL 33414 | 2020-08-27 |
| 1730661158 | Michelle Alexis Anagnostu | Nurse Practitioner | 1447 Medical Park Blvd Suite 406, Wellington, FL 33414 | 2018-09-01 |
| 1932686193 | Borola Inc | Occupational Therapy Assistant | 1985 Canterbury Circle, Wellington, FL 33414 | 2018-07-20 |
| 1841783156 | Kid'z World Advance Inc | Behavioral Analyst | 2400 Wrotham Ter, Wellington, FL 33414 | 2018-06-11 |
| 1134619489 | Devin Michael Scheller | Counselor | 2077 Vinings Circle Apt 1303, Wellington, FL 33414 | 2018-05-12 |
| 1942726617 | Amanda Hardy | Social Worker | 11120 South Way, Suite 1, Wellington, FL 33414 | 2017-08-15 |
| 1467976423 | Dawn Carnegia Blackshear | Nurse Practitioner | 1397 Medical Park Blvd Ste 480, Wellington, FL 33414 | 2017-08-01 |
| 1508390238 | Morgan Mccollum | Speech-Language Pathologist | 2158 Polo Gardens Dr Apt 203, Wellington, FL 33414 | 2017-04-19 |
| 1003369786 | Memite G Charlemagne | Registered Nurse | 184 Berenger Walk, Royal Palm Beach, FL 33414 | 2016-07-28 |
| Find all providers in zip 33414 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861994923 | Jorge Ibrahim Baghdan | Family Medicine | 2896 Pomerol Dr Apt 403, Wellington, FL 33414-9412 | 2018-03-05 |
| 1275995946 | Kaleb Wartgow | Family Medicine | 445 State Route 338, Wellington, NV 89444-9711 | 2016-03-22 |
| 1679975007 | Inspired Medical Pa | Family Medicine | 10443 Trianon Pl, Wellington, FL 33449-8075 | 2014-09-17 |
| 1568736387 | Primary Care of Palm Beach | Family Medicine | 227 Professional Way, Wellington, FL 33414-6392 | 2012-02-24 |
| 1740510312 | Nikia Lashonda Phillips | Family Medicine | 1397 Medical Park Blvd Ste 140, Wellington, FL 33414-3187 | 2010-01-05 |
| 1134457088 | Adolfo Colman Md | Family Medicine | 12139 Big Cone Ct, Wellington, FL 33414-5634 | 2009-12-03 |
| 1891023495 | Sarah Elizabeth Mitchell | Family Medicine | 2789 S State Road 7 Ste 100, Wellington, FL 33414-9320 | 2009-11-20 |
| 1932312972 | Richard M Hays Md Pa | Family Medicine | 1397 Medical Park Boulevard, Suite 220, Wellington, FL 33414 | 2007-05-07 |
| 1861541195 | Michael E Belotti Jr. | Family Medicine | 10111 Forest Hill Blvd., Suite 202, Wellington, FL 33414-6141 | 2007-01-09 |
| 1457371627 | Michael Girgis | Family Medicine | 125 S. State Road 7, Suite 104 - #343, Wellington, FL 33414 | 2006-07-20 |
| Find all providers in WELLINGTON | ||||
| City | WELLINGTON |
| Zip Code | 33414 |
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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.