6TH MEDICAL GROUP (NPI# 1538629415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538629415 |
| Entity Type | Organization |
| Organization Name | 6TH MEDICAL GROUP |
| Other Organization Name | DOD MACDILL EPHCY |
| Practice Address |
3250 Zemke Ave Bldg 1078 Tampa FL 33621-5023 |
| Practice Telephone | 8138277910 |
| Practice Fax Number | 8138280088 |
| Mailing Telephone | 8138277910 |
| Mailing Fax Number | 8138280088 |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-09-25 |
| Authorized Official Name | ROSEMARY GONZALEZ (MTF SUPPORT) |
| Authorized Official Telephone | 2105366096 |
| Is Organization Subpart | Y |
| Parent Organization Name | 6TH MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers |
| Other Name | Type Code |
|---|---|
| DoD MACDILL ePhcy | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7101 Kingfisher St, Tampa, FL 336215013 | 8138277910 | 8138280088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891756151 | 6th Medical Group | Clinic/Center | 3250 Zemke Ave, Macdill Afb, FL 33621 | 2006-03-28 |
| Street Address |
3250 ZEMKE AVE BLDG 1078 |
| City | TAMPA |
| State | FL |
| Zip Code | 33621-5023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497730717 | Richard Thomas Greco | Family Medicine | 3250 Zemke Ave Bldg 1078, Tampa, FL 33621-5023 | 2005-12-09 |
| 1073010963 | Kristin M Pierson | Registered Nurse | 3250 Zemke Ave Bldg 1078, Tampa, FL 33621-5023 | 2018-04-09 |
| 1891237087 | Lya Kushnirovich | Psychologist | 3250 Zemke Ave Bldg 1078, Tampa, FL 33621-5023 | 2016-11-05 |
| 1801279088 | Matthew W Mahony | Internal Medicine | 3250 Zemke Ave Bldg 1078, Tampa, FL 33621-5023 | 2015-07-07 |
| 1679844575 | Joshua Anthony Martin | Physician Assistant | 3250 Zemke Ave Bldg 1078, Tampa, FL 33621-5023 | 2012-01-24 |
| 1003105628 | Carmen Galea | Dentist | 3250 Zemke Ave Bldg 1078, Tampa, FL 33621-5023 | 2011-04-05 |
| 1265755334 | Lana Buda | Pharmacist | 3250 Zemke Ave Bldg 1078, Tampa, FL 33621-5023 | 2010-03-03 |
| 1336277862 | Susan Sheridan Haley | Dietitian, Registered | 3250 Zemke Ave Bldg 1078, Tampa, FL 33621-5023 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134644750 | Kwanza Lincoln | Military Health Care Provider | 3520 Zemke Ave, Tampa, FL 33621 | 2017-08-04 |
| 1922407659 | Michelle Lind | Social Worker | 8126 Hangar Loop Dr, 927the Arw - Bldg 296, Room 231, Tampa, FL 33621 | 2014-08-19 |
| 1588932768 | Katherine Holmes | Physician Assistant | 6th Medical Group, 3250 Zemke Ave, Macdill Afb, FL 33621 | 2011-12-02 |
| 1558378273 | Graeme Charles Bicknell | Social Worker | 4815 Bayshore Blvd, 6th Medical Group, Tampa, FL 33621 | 2006-08-02 |
| 1659346146 | Laura Umfer | Psychologist | 4515 Bayshore Blvd, Tampa, FL 33621 | 2006-02-20 |
| 1205808516 | Kenneth Joseph Baron | Physician Assistant | 3250 Zemke Ave #1078, 6th Medical Group, Macdill Afb, FL 33621 | 2006-02-02 |
| 1760478044 | Michael Glenn Hodges | Family Medicine | 3250 Zerkle Avenue, Macdill Afb, FL 33621 | 2005-09-22 |
| 1003801242 | Heather Ann Newman | Nurse Anesthetist, Certified Registered | 6th Medical Group/sghc, 8415 Bayshore Blvd, Macdill Afb, FL 33621 | 2005-09-14 |
| 1861486789 | Daniel N. Park | Physician Assistant | Ussocom Clinic, 3250 Zemke Ave, Macdill Afb, FL 33621 | 2005-09-07 |
| 1811374002 | Sara Bender | Social Worker | 3250 Zemke Ave, Tampa, FL 33621 | 2015-04-27 |
| Find all providers in zip 33621 | ||||
| Taxonomy Code | 332000000X |
| Grouping | Suppliers |
| Classification | Military/U.S. Coast Guard Pharmacy |
| A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: new; 7/1/2006: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154420891 | 6th Medical Group Third Party Collections | Military/U.S. Coast Guard Pharmacy | 9208 King Palm Dr, Tampa, FL 33619-1328 | 2006-09-21 |
| 1245339902 | 6th Medical Group Third Party Collections | Military/U.S. Coast Guard Pharmacy | 7101 Kingfisher St, Tampa, FL 33621-5013 | 2006-09-21 |
| 1578119087 | 6th Medical Group Third Party Collections | Military/U.S. Coast Guard Pharmacy | 9208 King Palm Dr, Tampa, FL 33619-1328 | 2019-08-12 |
| 1104232214 | 6th Medical Group Third Party Collections | Military/U.S. Coast Guard Pharmacy | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2014-07-09 |
| 1255430971 | 6th Medical Group Thrid Party Collections | Military/U.S. Coast Guard Pharmacy | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114425113 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 2500 Veterans Way, Bldg 645, Panama City, FL 32408 | 2018-01-25 |
| 1134518798 | 96th Medical Support Squadron | Military/U.S. Coast Guard Pharmacy | 3120 A. Talon Way, Eglin Afb Fld #3, FL 32542 | 2015-01-20 |
| 1457764078 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 5820 W Highway 98, Pensacola, FL 32507-1072 | 2014-06-11 |
| 1437562626 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 7119 Langley St Bldg 2985, Milton, FL 32570-6105 | 2014-06-05 |
| 1932512498 | Mayport Refill Pharmacy | Military/U.S. Coast Guard Pharmacy | Naval Health Clinic Mayport, 2104 Massey Ave, Mayport, FL 32228 | 2014-06-03 |
| 1770995300 | Jacksonville Refill Pharmacy | Military/U.S. Coast Guard Pharmacy | Navy Exchange Pharmacy, Bldg 950, Jacksonville, FL 32214-5000 | 2014-06-02 |
| 1598177123 | 96th Medical Support Squadron | Military/U.S. Coast Guard Pharmacy | 96 Medical Group Satellite Phcy Memorial Trail, Bldg. 1758, Eglin Afb, FL 32542 | 2014-06-02 |
| 1518301696 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 5820 West Highway 98, Bldg 3737, Pensacola, FL 32507 | 2013-04-19 |
| 1356653844 | Us Coast Guard Finance Center | Military/U.S. Coast Guard Pharmacy | 100 Trumbo Point Road, Key West, FL 33040 | 2010-07-13 |
| 1518051093 | Hrs Citrus County Health Dept. Pharmacy | Military/U.S. Coast Guard Pharmacy | 2804 Marc Knighton Ct, Lecanto, FL 34461 | 2006-10-02 |
| Find all providers with the same taxonomy | ||||
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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.