TAMPA GENERAL MEDICAL GROUP INC (NPI# 1235546532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235546532 |
| Entity Type | Organization |
| Organization Name | TAMPA GENERAL MEDICAL GROUP INC |
| Other Organization Name | TGMG FCC BOYETTE |
| Practice Address |
11966 Boyette Rd Riverview FL 33569-5601 |
| Mailing Address |
Po Box 1289 Tampa FL 33601-1289 |
| Practice Telephone | 8136720408 |
| Mailing Telephone | 8138443386 |
| Mailing Fax Number | 8138444712 |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2019-09-05 |
| Authorized Official Name | DR. PETER T CHANG (CHIEF MEDICAL INFORMATICS OFFICER) |
| Authorized Official Telephone | 8138443929 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| TGMG FCC BOYETTE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821626383 | Tampa General Medical Group Inc | Internal Medicine | 17416 Brookside Trace Ct, Tampa, FL 33647-3589 | 2020-03-31 |
| 1073064127 | Tampa General Medical Group Inc | Internal Medicine | 10740 Palm River Road, Ste 360, Tampa, FL 33619 | 2016-10-24 |
| 1003209792 | Tampa General Medical Group Inc | Internal Medicine | 3419 N Lakeview Dr, Tampa, FL 33618 | 2015-03-05 |
| 1205479862 | Tampa General Medical Group Inc | Internal Medicine | 10740 Palm River Rd Ste 360, Tampa, FL 33619-4578 | 2019-10-25 |
| 1598316366 | Tampa General Medical Group Inc | Internal Medicine | 7601 Seminole Blvd Ste A, Seminole, FL 33772-4868 | 2019-09-24 |
| 1033776166 | Tampa General Medical Group Inc | Internal Medicine | 3140 S Falkenburg Rd, Riverview, FL 33578-2574 | 2019-05-23 |
| 1639735574 | Tampa General Medical Group Inc | Surgery | 601 7th St S Ste 510, St Petersburg, FL 33701-4736 | 2019-05-16 |
| 1245895549 | Tampa General Medical Group Inc | Internal Medicine | 2211 Lithia Center Ln, Valrico, FL 33596-5676 | 2019-05-02 |
| 1720641574 | Tampa General Medical Group Inc | Transplant Surgery | 13685 Doctors Way Ste 330, Fort Myers, FL 33912-4347 | 2019-04-17 |
| 1356824320 | Tampa General Medical Group Inc | Internal Medicine | 2333 W Hillsborough Ave, Tampa, FL 33603-1052 | 2018-09-14 |
| Street Address |
11966 BOYETTE RD |
| City | RIVERVIEW |
| State | FL |
| Zip Code | 33569-5601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043260078 | Daniel James Jasko | Family Medicine | 11966 Boyette Rd, Riverview, FL 33569-5601 | 2006-05-11 |
| 1649301466 | Riverview Family Medicine Pa | Family Medicine | 11966 Boyette Rd, Riverview, FL 33569 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377907 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 11286 Boyett Rd, Suite 101, Riverview, FL 33569 | 2020-05-07 |
| 1730726472 | Peter James Wise | Occupational Therapist | 11286 Boyette Rd, Suite 101, Riverview, FL 33569 | 2019-12-02 |
| 1376023945 | Lithia Assisted Living LLC | Assisted Living Facility | 13470 Boyette Rd, Riverview, FL 33569 | 2018-08-14 |
| 1992223911 | Flobert Lubin | Registered Nurse | 11135 Lakeside Vista Dr, Riverview, FL 33569 | 2017-08-30 |
| 1467908087 | Publix Super Markets Inc | Pharmacy | 11460 S Us Highway 301, Riverview, FL 33569 | 2016-09-01 |
| 1669831004 | Sandra M Santos | Dentist | 11478 S Us Hwy 301 S, Riverview, FL 33569 | 2016-02-13 |
| 1740509876 | Balanced Home Healthcare, Inc. | Home Health | 10855 Boyette Road, Riverview, FL 33569 | 2010-05-28 |
| 1801114160 | Zahid I Choudary | Psychiatry & Neurology | American Telestroke and Neurology Inc, 11922 Boyette Rd, Riverview, FL 33569 | 2010-05-12 |
| 1033348974 | Keri Ann Herro | Chiropractor | 11974 Balm Riverview Road, Riverview, FL 33569 | 2009-07-14 |
| 1689838666 | Danoosh Shiravand Amrooei | Dentist | 10845 W Bloomingdale Ave, Riverview, FL 33569 | 2008-07-18 |
| Find all providers in zip 33569 | ||||
| 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 |
|---|---|---|---|---|
| 1124482351 | Okwudili Okpaleke | Family Medicine | 10141 Big Bend Rd Ste 101, Riverview, FL 33578-7419 | 2016-04-13 |
| 1447665377 | Jasmine Siska | Family Medicine | 6037 Winthrop Commerce Ave Ste 201, Riverview, FL 33578-4694 | 2014-06-30 |
| 1962654228 | Elba Idelisse Arroyo-velez | Family Medicine | 9366 Balm Riverview Rd, Riverview, FL 33569-5104 | 2008-10-17 |
| 1578727905 | Prema L Ramsahai | Family Medicine | 10647 Big Bend Rd, Ste 212, Riverview, FL 33579-7176 | 2008-07-15 |
| 1821209958 | Family Practice Associates of Riverview LLC | Family Medicine | 11347 Big Bend Rd, Riverview, FL 33569-7183 | 2007-05-24 |
| 1518018365 | Dr. Holly H. Williams, D.o. P.a. | Family Medicine | 7410 Commerce St, Riverview, FL 33569-4333 | 2007-01-16 |
| 1942386750 | Nazneen Hyder Noorani | Family Medicine | 10924 Bloomingdale Ave, Riverview, FL 33578-3633 | 2006-10-27 |
| 1063445112 | Rodney H Poling | Family Medicine | 17740 Fort St, Riverview, MI 48193-6633 | 2006-07-09 |
| 1568413367 | Henry M Jurasek | Family Medicine | 19020 Fort St, Riverview, MI 48193-6701 | 2006-05-15 |
| 1043260078 | Daniel James Jasko | Family Medicine | 11966 Boyette Rd, Riverview, FL 33569-5601 | 2006-05-11 |
| Find all providers in RIVERVIEW | ||||
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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.