MCILWAIN MEDICAL GROUP, PA (NPI# 1942555180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942555180 |
| Entity Type | Organization |
| Organization Name | MCILWAIN MEDICAL GROUP, PA |
| Practice Address |
4700 N Habana Ave Suite 201 Tampa FL 33614-7160 |
| Mailing Address |
13801 Bruce B Downs Blvd Suite 406 Tampa FL 33613-3946 |
| Practice Telephone | 8138795485 |
| Practice Fax Number | 8138701781 |
| Mailing Telephone | 8139715550 |
| Mailing Fax Number | 8139031070 |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2012-07-13 |
| Authorized Official Name | HARRIS MCILWAIN (PRESIDENT) |
| Authorized Official Telephone | 8139715550 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
ME26737 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750641494 | Mcilwain Medical Group, Pa | Internal Medicine | 13801 Bruce B Downs Blvd, Suite 406, Tampa, FL 33613-3946 | 2012-05-28 |
| Street Address |
4700 N HABANA AVE SUITE 201 |
| City | TAMPA |
| State | FL |
| Zip Code | 33614-7160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952387961 | Jose M Sanchez Ojeda | General Practice | 4700 N Habana Ave, Ste 101, Tampa, FL 33614-7160 | 2005-12-21 |
| 1689135212 | Laura Renee Mercado | Dietitian, Registered | 4700 N Habana Ave, Tampa, FL 33614-7160 | 2019-03-27 |
| 1194239780 | Medical Home Alliance LLC | Non-Pharmacy Dispensing Site | 4700 N Habana Ave, Tampa, FL 33614-7160 | 2017-11-20 |
| 1437690732 | Cecelia Addison | Counselor | 4700 N Habana Ave, Suite 500, Tampa, FL 33614-7160 | 2017-03-20 |
| 1699135061 | Tampa Vamc | Psychiatric Residential Treatment Facility | 4700 N Habana Ave, Tampa, FL 33614-7160 | 2016-02-29 |
| 1952664435 | Burnette & Silverfield Mds Plc | Internal Medicine | 4700 N Habana Ave, Suite 303, Tampa, FL 33614-7160 | 2012-06-20 |
| 1881994606 | Gulfshore Pain & Wellness Centre | Clinic/Center | 4700 N Habana Ave, 403, Tampa, FL 33614-7160 | 2010-10-26 |
| 1023248945 | Jessica Mesa | Massage Therapist | 4700 N Habana Ave, 700, Tampa, FL 33614-7160 | 2009-07-27 |
| 1982839510 | Relief Medical Center, LLC | Legal Medicine | 4700 N Habana Ave, Suite 701, Tampa, FL 33614-7160 | 2009-05-27 |
| 1821256629 | Seifu M Demissie | Pediatrics | 4700 N Habana Ave, Suite 200, Tampa, FL 33614-7160 | 2008-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733082 | Robin Rollena Stewart | Home Health | 9537 Lazy Lane, Apt 302, Tampa, FL 33614 | 2020-09-08 |
| 1346885761 | David Joseph Page | Nurse Practitioner | St. Joseph's Behavioral Health Center, 4918 N. Habana Ave, Tampa, FL 33614 | 2019-11-08 |
| 1134687411 | Ramon Chang Adult Family Care Home LLC | Custodial Care Facility | 2607 W Humphrey St, Tampa, FL 33614 | 2019-03-06 |
| 1134600612 | Senior Point Assisted Living Facility, LLC | Assisted Living Facility | 2940 W Hillsborough Ave, Tampa, FL 33614 | 2018-08-23 |
| 1306361266 | Larry Valdes | Assisted Living Facility | 4402 W Minnehaha St, Tampa, FL 33614 | 2017-08-11 |
| 1982128062 | Jaime F Casellas Md Corp | Internal Medicine | 4600 N Habana Ave Suit #13, Tampa, FL 33614 | 2017-07-31 |
| 1891219119 | Waveney Gittens-williams | Alzheimer Center (Dementia Center) | 3706 W. Idle Wild Cir #203, Tampa, FL 33614 | 2017-07-28 |
| 1750811857 | Syerita Nicole Morris | Counselor | 6800 N Dale Marby Hwy, Ste 164, Tampa, FL 33614 | 2017-06-13 |
| 1447786124 | Lisa Moy | Case Manager/Care Coordinator | 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 | 2017-05-02 |
| 1750813804 | Joshua Martin Good | Physical Therapy Assistant | 3363 W. Waters Avenue, Suite 700, Tampa, FL 33614 | 2017-03-29 |
| Find all providers in zip 33614 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790916369 | Edgard Janer Md Pa | Internal Medicine | 3411 W Fletcher Ave Ste A, Tampa, FL 33618-2813 | 2009-07-30 |
| 1083712418 | Carolyn Schroeder Connelly | Internal Medicine | 2919 W Swann Ave Ste 404, Tampa, FL 33609-4052 | 2006-09-20 |
| 1053415315 | Jeffrey Leigh Miller | Internal Medicine | 3218 W Azeele St, Tampa, FL 33609 | 2006-09-08 |
| 1174504971 | Elizabeth Helen Zable | Internal Medicine | 16594 N Dale Mabry Hwy, Tampa, FL 33618-1325 | 2005-11-09 |
| 1669868907 | Ambreesh Chawla | Internal Medicine | 15416 N Florida Ave, Tampa, FL 33613-1244 | 2015-04-14 |
| 1750641494 | Mcilwain Medical Group, Pa | Internal Medicine | 13801 Bruce B Downs Blvd, Suite 406, Tampa, FL 33613-3946 | 2012-05-28 |
| 1598934093 | Raquel S Cuchacovich | Internal Medicine | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2008-02-28 |
| 1336331271 | Julio Gonzalez-paoli | Internal Medicine | 4012 N Florida Ave, Tampa, FL 33603-3816 | 2007-08-14 |
| 1457413692 | Bernard Franklin Germain | Internal Medicine | 15416 N Florida Ave, Tampa, FL 33613-1244 | 2006-12-14 |
| 1417051772 | Leni Ellen Kramer | Internal Medicine | 2605 W Swann Ave, Suite 600, Tampa, FL 33609-4039 | 2006-09-08 |
| 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.