MCBATH MEDICAL CENTER PA (NPI# 1023238284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023238284 |
| Entity Type | Organization |
| Organization Name | MCBATH MEDICAL CENTER PA |
| Practice Address |
13933 17th St Ste: 101 Dade City FL 33525-4603 |
| Practice Telephone | 3525676763 |
| Practice Fax Number | 3525671358 |
| Mailing Telephone | 3525676763 |
| Mailing Fax Number | 3525671358 |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2009-11-30 |
| Authorized Official Name | DR. DANIEL PHILIP MCBATH (OWNER PHYSICIAN) |
| Authorized Official Telephone | 3525676763 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | FC1011371 | FL | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | OS6111 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 278099200 | 05 | |
| FL | BCBS | 34296 | 01 |
| Street Address |
13933 17TH ST STE: 101 |
| City | DADE CITY |
| State | FL |
| Zip Code | 33525-4603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730171786 | Lee Jay Grossbard | Surgery | 13933 17th St, Suite 200, Dade City, FL 33525-4604 | 2005-08-16 |
| 1467802892 | Mark Christopher Roque | Nurse Practitioner | 13933 17th St, Suite 101, Dade City, FL 33525-4604 | 2016-06-16 |
| 1043543655 | Dade City Urgent Care Center Pllc | Clinic/Center | 13933 17th St, Dade City, FL 33525-4603 | 2009-09-14 |
| 1093896367 | David Michael Lustig | Urology | 13933 17th St, Suite 201, Dade City, FL 33525-4604 | 2006-10-17 |
| 1003848359 | Pasco Hernando Hma Physician Management, LLC | Internal Medicine | 13933 17th St, Suite 101, Dade City, FL 33525-4604 | 2006-07-07 |
| 1508852351 | Carl S Werne | Emergency Medicine | 13933 17th St, Suite 101, Dade City, FL 33525-4604 | 2005-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548735772 | Medical Risk Solutions | Family Medicine | 38503 Centennial Road, Dade City, FL 33525 | 2018-10-03 |
| 1629593280 | Kiria Cuevas | Pharmacist | 11830 Us-301, Dade City, FL 33525 | 2017-08-04 |
| 1477005452 | Nancy T Mathew | Nurse Practitioner | 9834 Pine Leaf Lane, Dade City, FL 33525 | 2016-10-26 |
| 1720470933 | Jackalynne Burns | Behavioral Analyst | 11820 Munbury Dr, Dade City, FL 33525 | 2015-02-25 |
| 1497146781 | Bridgett Crews | Case Manager/Care Coordinator | 9315 Handcart Rd., Dade City, FL 33525 | 2015-02-09 |
| 1437457389 | Shannon Clarke Korst | Massage Therapist | 11045 Old Lakeland Hwy, Dade City, FL 33525 | 2011-03-02 |
| 1689907420 | Gladys Borges | Nutritionist | 13941 15th Street, Pchd Wic & Nutrition Services, Dade City, FL 33525 | 2009-09-11 |
| 1730412628 | Veekas Patel | Pharmacist | 12715 Hwy 301, Dade City, FL 33525 | 2009-09-10 |
| 1376765347 | Linda F Elmore | Technician, Other | 12649 Us Hwy 301, Dade City, FL 33525 | 2007-05-02 |
| 1417086190 | Marta M Velasquez | Pharmacist | 12649 Hwy 301, Dade City, FL 33525 | 2007-03-05 |
| Find all providers in zip 33525 | ||||
| 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 |
|---|---|---|---|---|
| 1548735772 | Medical Risk Solutions | Family Medicine | 38503 Centennial Road, Dade City, FL 33525 | 2018-10-03 |
| 1275554412 | Nancy Finnerty | Family Medicine | 13417 Us Hwy 301 S, Suite D, Dade City, FL 33525 | 2006-07-22 |
| 1447288949 | William Joe Stamper | Family Medicine | 13438 Fort King Rd, Dade City, FL 33525-5214 | 2006-06-30 |
| 1114969151 | Danielle L Albritton | Family Medicine | 14010 21st St, Dade City, FL 33525-3915 | 2006-06-12 |
| 1154320166 | Sandra W Lamphier | Family Medicine | 16524 Jessamine Rd, Dade City, FL 33523-7432 | 2005-07-20 |
| 1982607875 | Jerry W Bishop | Family Medicine | 13933 17th St Ste 101, Dade City, FL 33525-4604 | 2005-05-24 |
| 1710530795 | Mcr Health, Inc. | Family Medicine | 38503 Centennial Rd, Dade City, FL 33525-1654 | 2019-07-19 |
| 1790949113 | Camille Nancy Anise | Family Medicine | 13417 Us Highway 301, Dade City, FL 33525-5446 | 2008-07-15 |
| 1548375876 | Anthony Esposito | Family Medicine | 13417 Us Highway 301, Dade City, FL 33525-5446 | 2006-08-19 |
| 1912920950 | Todd Larue | Family Medicine | 13417 Us Hwy 301 S, Suite D, Dade City, FL 33525 | 2006-07-25 |
| Find all providers in DADE CITY | ||||
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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.