1. Home
  2. Directory
  3. Florida
  4. North Port
  5. General Practice
  6. NPI Profile

NORTHERN MEDICAL CENTER INC
NPI 1134567613
General Practice in North Port, FL

Active since June 06, 2013
12450 TAMIAMI TRL S, SUITE E, NORTH PORT, FL 34287(941) 257-4763(941) 257-4766 Get Directions Write a Review

NPPES record last updated: October 10, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Northern Medical Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHERN MEDICAL CENTER INC (NPI 1134567613) is a healthcare organization registered as a general practice in North Port, Florida and active in the NPI registry since June 2013. The organization lists Daniil Supishchev, Owner, as its authorized official.

NPPES Registry Identity

NPI1134567613
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameNORTHERN MEDICAL CENTER INC
Location Address12450 TAMIAMI TRL S, SUITE ENorth Port, FL 34287-1473
Mailing Address12450 Tamiami Trl S, Suite ENorth Port, FL 34287-1473 · (941) 257-4763 · Fax (941) 257-4766
Phone(941) 257-4763
Fax(941) 257-4766
Organization SubpartNo
Authorized OfficialDaniil SupishchevOwner · (941) 257-4763
Enumeration DateJune 6, 2013
Last NPPES UpdateOctober 10, 2013
✔ NPI 1134567613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
12450 TAMIAMI TRL S, North Port, FL 34287
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHI-THERAS REHAB LLC
Physical Medicine & Rehabilitation
12450 TAMIAMI TRL S, SUITE E
NORTH PORT, FL 34287
Sarasota County (941) 257-4763
DR. ROBERT BRUCE BRIGGS D.O.
Family Medicine
12450 TAMIAMI TRL S, SUITE E
NORTH PORT, FL 34287
Sarasota County (941) 257-4763

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northern Medical Center Inc's NPI number?

The NPI number for Northern Medical Center Inc is 1134567613. It was assigned to this organization in the NPPES registry on June 6, 2013.

Where is Northern Medical Center Inc located?

Northern Medical Center Inc is located at 12450 Tamiami Trl S Suite E, North Port, FL 34287. The listed phone number is (941) 257-4763.

What is Northern Medical Center Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Northern Medical Center Inc was last updated on October 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.