| Aspire Medical Group Llc | |
|
7278 State Road 54 New Port Richey FL 34653-6125 | |
| (727) 807-5009 | |
| Not Available |
| Full Name | Aspire Medical Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 7278 State Road 54, New Port Richey, Florida |
| Authorized Official Name and Position | Rajin Patel (OWNER) |
| Authorized Official Contact | 7278075900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspire Medical Group Llc 7278 State Road 54 New Port Richey FL 34653-6125 Ph: () - | Aspire Medical Group Llc 7278 State Road 54 New Port Richey FL 34653-6125 Ph: (727) 807-5009 |
| NPI Number | 1205309135 |
|---|---|
| Provider Enumeration Date | 01/03/2019 |
| Last Update Date | 06/27/2019 |
| Medicare PECOS PAC ID | 2062746985 |
|---|---|
| Medicare Enrollment ID | O20190626004045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205309135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jamie L Melichar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134484702 PECOS PAC ID: 2264740976 Enrollment ID: I20150930000345 |
| Provider Name | Simonne Maj Hammarquist |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1033650551 PECOS PAC ID: 9830451129 Enrollment ID: I20180327000180 |
| Provider Name | Kristy Renea Kahen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124538673 PECOS PAC ID: 8325472103 Enrollment ID: I20200103000490 |
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