MIDWAY SPECIALTY CARE CENTER INC - NPI 1376970814 - Internal Medicine in Fort Pierce, FL

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RI0200X and a focus in Infectious Disease.

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About Midway Specialty Care Center Inc NPPES

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

MIDWAY SPECIALTY CARE CENTER INC (NPI 1376970814) is a healthcare organization registered as an infectious disease in Fort Pierce, Florida and active in the NPI registry since September 2013. The organization holds a CLIA Waiver certificate valid through September 20, 2026 and lists Moti N Ramgopal, Medical Director, as its authorized official.Information from the official NPPES registry record, last updated September 2, 2020.

NPPES Registry Identity

NPI1376970814

Entity TypeOrganization

Legal Business NameMIDWAY SPECIALTY CARE CENTER INC

Location Address356 E MIDWAY RDFort Pierce, FL 34982-7148

Mailing Address356 E Midway RdFort Pierce, FL 34982-7148

Phone(772) 464-9746

Organization SubpartNo

Authorized OfficialMoti N RamgopalMedical Director · (772) 464-9746

Enumeration DateSeptember 30, 2013

Last NPPES UpdateSeptember 2, 2020

NPPES CertifiedSeptember 2, 2020

✔ NPI 1376970814 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

★ Primary Specialty

Internal Medicine · Infectious Disease

Taxonomy 207RI0200X · Allopathic & Osteopathic Physicians

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This… Show more

356 E MIDWAY RD, Fort Pierce, FL 34982

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Also on File with NPPES

Other Identifiers1

009849200 (Medicaid, FL)

Group Practice1

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization. (193400000X SINGLE SPECIALTY GROUP)

Accepted insurance plans are listed on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 10D2119227
Facility Type: Physician Office
Certificate Effective Date: September 21, 2024
Certificate Expiration Date: September 20, 2026
Laboratory Director: MOTI RAMGOPAL
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Midway Specialty Care Center Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.