TAMPA GENERAL MEDICAL GROUP INC (NPI# 1962819250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962819250 |
| Entity Type | Organization |
| Organization Name | TAMPA GENERAL MEDICAL GROUP INC |
| Other Organization Name | TGMG FCC TRINITY |
| Practice Address |
2433 Country Place Blvd Trinity FL 34655-1163 |
| Mailing Address |
Po Box 1289 Tampa FL 33601-1289 |
| Practice Telephone | 8138448200 |
| 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 | 8138443829 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| TGMG FCC TRINITY | 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 |
2433 COUNTRY PLACE BLVD |
| City | TRINITY |
| State | FL |
| Zip Code | 34655-1163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093065203 | Amanda Colucci | Physical Therapist | 2433 Country Place Blvd, Bldg B, Trinity, FL 34655-1163 | 2012-09-14 |
| 1851708911 | Ellen Eckelman | Physical Therapist | 2433 Country Place Blvd, Blding B, Trinity, FL 34655-1163 | 2014-07-21 |
| 1235546789 | Christopher Wagner | Physical Therapist | 2433 Country Place Blvd, Bldg B, Trinity, FL 34655-1163 | 2014-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845221 | Kathryn E Wright | Social Worker | 8225 Florida State Road 54, New Port Richey, FL 34655 | 2020-09-15 |
| 1245873728 | Trinity Counseling Services | Marriage & Family Therapist | 1934 Duck Slough, Trinity, FL 34655 | 2019-10-28 |
| 1134770563 | Timothy Foster | Licensed Practical Nurse | 9332 Sr 54, Ste 202, Trinity, FL 34655 | 2019-09-26 |
| 1710542824 | Leah E. Grossman | Student in an Organized Health Care Education/Training Program | Medical Center of Trinity, 9330 State Rd 54, Trinity, FL 34655 | 2019-05-03 |
| 1508420696 | Varun Reddy | Student in an Organized Health Care Education/Training Program | 9330 Fl 54, Trinity, FL 34655 | 2019-04-24 |
| 1184183642 | Courtney Lynne Fagan | Specialist/Technologist | 8225 Fl-54, New Port Richey, FL 34655 | 2019-03-14 |
| 1164996633 | Brooke E Cox | Obstetrics & Gynecology | 8145 Cerebellum Way Ste 102, Trinity, FL 34655 | 2019-01-17 |
| 1144734591 | Optimal Performance and Physical Therapies Trinity LLC | Physical Therapist | 11157 Trinity Blvd, Trinity, FL 34655 | 2017-11-21 |
| 1629581285 | Nationwide Vision Center, LLC | Technician/Technologist | 3238 Little Rd, Trinity, FL 34655 | 2017-11-06 |
| 1053834267 | Spnn LLC | Pharmacy | 5429 Little Rd, New Port Richey, FL 34655 | 2017-07-19 |
| Find all providers in zip 34655 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1467787648 | East Texas Medical Center Trinity | Internal Medicine | 317 Prospect Drive, Trinity, TX 75862 | 2009-10-06 |
| 1710135397 | Maria Angela Moreno | Internal Medicine | 8819 Bel Meadow Way, Trinity, FL 34655-4605 | 2008-09-08 |
| 1497954168 | Howell Medical Group LLC | Internal Medicine | 3539 Little Rd, Trinity, FL 34655-1811 | 2007-07-13 |
| 1518088111 | Jigneshkumar Babubhai Patel | Internal Medicine | 1818 Short Branch Dr, Suite 102, Trinity, FL 34655-4425 | 2007-04-02 |
| 1982742524 | Milia Adly Ghaly | Internal Medicine | 2433 Country Place Blvd Bldg B, Trinity, FL 34655-1163 | 2007-02-04 |
| 1992759096 | Uday Dandamudi | Internal Medicine | 3611 Little Rd, Trinity, FL 34655-1813 | 2006-05-22 |
| 1659324432 | Kurt T. Besch | Internal Medicine | 2087 Little Rd, Trinity, FL 34655 | 2006-05-19 |
| 1023097136 | Jeffrey Scott Vasta | Internal Medicine | 3633 Little Road, Suite 101, Trinity, FL 34655-1818 | 2006-01-17 |
| 1053393561 | Ghiath Kashlan | Internal Medicine | 8835 Hawbuck St, Trinity, FL 34655-5361 | 2005-11-18 |
| 1427043421 | Usha Agarwal | Internal Medicine | 3543 Little Rd, Ste B, Trinity, FL 34655-1811 | 2005-09-15 |
| Find all providers in TRINITY | ||||
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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.