1558977926 NPI number — OHI WEST MEDICAL GROUP, LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558977926 NPI number — OHI WEST MEDICAL GROUP, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OHI WEST MEDICAL GROUP, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1558977926
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/01/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3090 CARUSO CT STE 50
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ORLANDO
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32806-8510
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
407-481-7174
Provider Business Mailing Address Fax Number:
321-843-6080

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
603 7TH ST S STE 350
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ST PETERSBURG
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33701-4732
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-553-7474
Provider Business Practice Location Address Fax Number:
727-553-7472
Provider Enumeration Date:
09/21/2020

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
NAPIER
Authorized Official First Name:
MICHELE
Authorized Official Middle Name:
Authorized Official Title or Position:
VP, REVENUE MANAGEMENT & CRO
Authorized Official Telephone Number:
321-841-3492

Provider Taxonomy Codes

  • Taxonomy code: 261QP2300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)