Organization Active NPI

Echelon-Health, Inc

  • Primary Care Clinic/Center
  • Lutz, FL
National Provider Identifier
1013344225
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME102910 Issued in FL
Legal business name
ECHELON-HEALTH, INC
Practice address
1525 Vandervort Rd
Lutz, FL 33549-5750
Phone
(813) 892-5665
NPI assigned
Oct 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Tommy CG McElroy, M.D.
Title
Owner - President
Phone
(813) 907-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME102910 FL Primary

Addresses

Primary practice location

1525 Vandervort Rd
Lutz, FL 33549-5750

Mailing address

2405 Creel LN Ste 102
Wesley Chapel, FL 33544-4607
Phone (813) 907-6300

National Provider Directory

National Provider Directory

Locations

2405 Creel Ln
Ste 102
Wesley Chapel, FL 33544
Phone (813) 907-6300

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1013344225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 CREEL LN STE 102",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335444607",
            "telephone_number": "813-907-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 VANDERVORT RD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335495750",
            "telephone_number": "813-892-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECHELON-HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "MCELROY",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_middle_name": "CG",
        "authorized_official_title_or_position": "OWNER - PRESIDENT",
        "authorized_official_telephone_number": "813-907-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME102910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.