Active NPI
Echelon-Health, Inc
- Primary Care Clinic/Center
- Lutz, FL
National Provider Identifier
1013344225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- ME102910
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.