TAMPA GENERAL MEDICAL GROUP INC (NPI# 1487991477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487991477 |
| Entity Type | Organization |
| Organization Name | TAMPA GENERAL MEDICAL GROUP INC |
| Other Organization Name | TGMG FCC HEALTHPARK |
| Practice Address |
5802 N 30th St Tampa FL 33610-1469 |
| Mailing Address |
Po Box 1289 Tampa FL 33601-1289 |
| Practice Telephone | 8132365300 |
| Practice Fax Number | 8132375402 |
| Mailing Telephone | 8138443386 |
| Mailing Fax Number | 8138444712 |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2019-09-05 |
| Authorized Official Name | DR. PETER T CHANG (CHIEF MEDICAL INFORMATICS OFFICER) |
| Authorized Official Telephone | 8138443829 |
| 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 HEALTHPARK | 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 |
5802 N 30TH ST |
| City | TAMPA |
| State | FL |
| Zip Code | 33610-1469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164482410 | Satya S Kurakula | Family Medicine | 5802 N 30th St, Tampa, FL 33610-1469 | 2006-03-23 |
| 1164052445 | Amber Michelle Gum | Psychologist | 5802 N 30th St, Tampa, FL 33610-1469 | 2020-01-25 |
| 1417416843 | Bianca Clermont | Nurse Practitioner | 5802 N 30th St, Tampa, FL 33610-1469 | 2019-03-15 |
| 1992016950 | Jorayn Lundy | Nurse Practitioner | 5802 N 30th St, Tampa, FL 33610-1469 | 2010-06-24 |
| 1265697924 | Aditi Vinayak Purandare | Internal Medicine | 5802 N 30th St, Tampa, FL 33610 | 2008-07-22 |
| 1013117084 | Stephanie Austin | Nurse Practitioner | 5802 N 30th St, Tampa, FL 33610-1469 | 2007-07-19 |
| 1811028798 | Karen Sue Mcdonald | Nurse Practitioner | 5802 N 30th St, Genesis Clinic, Tampa, FL 33610-1469 | 2007-03-09 |
| 1255418570 | Kara Burke | Nurse Practitioner | 5802 N 30th St, Tampa, FL 33610-1469 | 2006-11-01 |
| 1477576460 | University Medical Service Association Inc | Family Medicine | 5802 N 30th St, Mdc 15, Tampa, FL 33610-1469 | 2006-07-25 |
| 1154379154 | Stephen D Kohl | Obstetrics & Gynecology | 5802 N 30th St, Tampa, FL 33610-1469 | 2006-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184273161 | Mayra Iris Pesante Lopez | Behavior Technician | 10150 Highlands Manor Drive Suite 200, Tampa, FL 33610 | 2019-09-11 |
| 1902464381 | Ruth Hosen Milfort | Case Manager/Care Coordinator | 5707 N. 22nd Street, Tampa, FL 33610 | 2019-05-31 |
| 1265914626 | Universal Transportation Management Inc | Non-emergency Medical Transport (VAN) | 4108 N 22nd Street, Tampa, FL 33610 | 2018-09-02 |
| 1346759115 | Speedway Plus 2 Car Care Center LLCc | Residential Treatment Facility, Physical Disabilities | 8007 Glenoak Rd., Tampa, FL 33610 | 2017-09-25 |
| 1245757707 | Duy Dang | Behavioral Analyst | 4402 Claymore Dr Unit 203, Tampa, FL 33610 | 2017-08-25 |
| 1144745043 | Jonequa Baker | Home Health Aide | 709 North Castle Court, Tampa, FL 33610 | 2017-08-11 |
| 1619401338 | Dedicated Senior Medical Center East Tampa, LLC. | Non-Pharmacy Dispensing Site | 3128 East Hillsborough Avenue, Dedicated Senior Medical Center East Tampa, LLC., Tampa, FL 33610 | 2017-04-19 |
| 1669917423 | Olivia Anderson | Counselor | 10150 Highland Manor Dr Ste 200#108, Tampa, FL 33610 | 2017-01-03 |
| 1952779050 | Tampa Family Health Centers, Inc | Clinic/Center | 3100 E. Fletcher Avenue, Tampa, FL 33610 | 2015-09-04 |
| 1215303821 | Morissa Kidd | Technician, Other | 8062 Deerwood Circle, Tampa, FL 33610 | 2015-08-18 |
| Find all providers in zip 33610 | ||||
| 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 |
|---|---|---|---|---|
| 1851909212 | Stefanny Molina Mesa | Family Medicine | 3016 W Kirby St, Tampa, FL 33614-3303 | 2020-07-21 |
| 1245869015 | Zenlifemd Pa | Family Medicine | 18101 Highwoods Preserve Pkwy Ste 120, Tampa, FL 33647-1791 | 2020-04-03 |
| 1184250490 | Stetho Md LLC | Family Medicine | 1707 E Bearss Ave, Tampa, FL 33613 | 2020-03-18 |
| 1447898101 | Palms Clinical Services Inc | Family Medicine | 17008 Palm Pointe Dr Ste 101, Tampa, FL 33647-3504 | 2019-12-12 |
| 1396382545 | Advanced Medical Treatments, LLC | Family Medicine | 4401 W Kennedy Blvd Fl 3, Tampa, FL 33609-2058 | 2019-12-06 |
| 1528604204 | Amarillys Alvarado-sojo | Family Medicine | 10306 Manta Way, Tampa, FL 33615-4252 | 2019-11-18 |
| 1891345138 | Adeel Farooqi | Family Medicine | 3905 W Sevilla St, Tampa, FL 33629-8604 | 2019-09-18 |
| 1003464074 | Leslie Kapp-jones | Family Medicine | 3100 E Fletcher Ave Ste 126, Tampa, FL 33613-4613 | 2019-09-03 |
| 1053895375 | Barbara Pierre-louis | Family Medicine | 12552 Castle Hill Dr, Tampa, FL 33624-4183 | 2018-09-21 |
| 1700366010 | Marie A Brister Md LLC | Family Medicine | 508 W Dr Martin Luther King Jr Blvd Ste A, Tampa, FL 33603 | 2018-08-16 |
| Find all providers in TAMPA | ||||
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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.