HILLSBOROUGH PASCO MEDICAL CLINIC - NPI NUMBER 1568485688

Summary

Provider Name: HILLSBOROUGH PASCO MEDICAL CLINIC

NPI Number: 1568485688

Clasification: Internal Medicine (207R00000X)

Address:
3102 W CYPRESS ST
STE A
TAMPA, FL
ZIP 33607

Phone Number: (813) 875-3444



Detailed Information

HILLSBOROUGH PASCO MEDICAL CLINIC is an internist in Tampa, FL. The provider is 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. The assigned NPI number for this provider is 1568485688 and is registered as an organization entity type and is a multi-specialty group.

The provider's business address is:

3102 W CYPRESS ST
STE A
TAMPA, FL
ZIP 33607
Phone: (813) 875-3444
Fax: (813) 878-2110

The provider's authorized official is Tulsibhai L Pipalia .
The authorized official title is Manager and has the following contact phone number (813) 875-3444.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 7/8/2007.

Map - Location of Practice

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207R00000X Internal Medicine Yes

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1568485688 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
4 Provider Organization Name Legal Business Name HILLSBOROUGH PASCO MEDICAL CLINIC The name of the organization provider. If the provider is an organization, this is the legal business name.
5 Provider First Line Business Practice Location Address 3102 W CYPRESS ST The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
6 Provider Second Line Business Practice Location Address STE A The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
7 Provider Business Practice Location Address City Name TAMPA The city name in the location address of the provider being identified.
8 Provider Business Practice Location Address State Name FL The State code in the location of the provider being identified.
9 Provider Business Practice Location Address Postal Code 33607 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
10 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
11 Provider Business Practice Location Address Telephone Number 8138753444 The telephone number associated with the location address of the provider being identified.
12 Provider Business Practice Location Address Fax Number 8138782110 The fax number associated with the location address of the provider being identified.
13 Provider Enumeration Date 7/26/2006 The date the provider was assigned a unique identifier (assigned an NPI).
14 Last Update Date 7/8/2007 The date that a record was last updated or changed.
15 Authorized Official Last Name PIPALIA The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
16 Authorized Official First Name TULSIBHAI The first name of the authorized official.
17 Authorized Official Middle Name L The middle name of the authorized official.
18 Authorized Official Title or Position MANAGER The title or position of the authorized official.
19 Authorized Official Telephone Number 8138753444 The 10-position telephone number of the authorized official.
20 Healthcare Provider Taxonomy Code 1 207R00000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Authorized Official Credential Text MD
23 Healthcare Provider Taxonomy Group 1 193200000X MULTI-SPECIALTY GROUP

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This page was last updated on: 3/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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