McBath Medical Center PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS6111 Issued in FL

Legal business name

MCBATH MEDICAL CENTER PA

Practice address

13933 17TH St
Ste: 101
Dade City, FL 33525-4603

Phone

(352) 567-6763

Fax

(352) 567-1358

NPI assigned

Apr 27, 2007

Last updated

Nov 30, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Philip McBath, D.O.

Title

Owner Physician

Phone

(352) 567-6763

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1023238284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13933 17TH ST",
            "address_2": "STE: 101",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335254603",
            "telephone_number": "352-567-6763",
            "fax_number": "352-567-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13933 17TH ST",
            "address_2": "STE: 101",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335254603",
            "telephone_number": "352-567-6763",
            "fax_number": "352-567-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCBATH MEDICAL CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "MCBATH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "352-567-6763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS6111",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "FC1011371",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278099200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "34296",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Edward Martinez, RPH
• Nancy T Mathew
• Stephanie Mathis, MSN, FNP-BC
• Roderick Maul, RCSWI
• Margaret Mauricio, DDS
• Kyra Michelle McGee, RBT
• Tracy C McKay, D.O.
• Clarence McNair, DDS
• MCR Health, Inc. (Health and Wellness Dade City)
• MCR Health, Inc. (Health and Wellness Dade City)

• Family Medicine Physician in Dade City, FL
• Providers in Dade City, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; 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.