NPIMap

Organization Active NPI

Tampa General Medical Group Inc

  • Surgery Physician
  • Brooksville, FL
National Provider Identifier
1043099211
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
TAMPA GENERAL MEDICAL GROUP INC
Practice address
17222 Hospital Blvd Ste 242
Brooksville, FL 34601-8925
Phone
(352) 544-6145
Fax
(352) 688-9189
NPI assigned
Sep 26, 2023
Organization subpart
Yes
Parent organization
TAMPA GENERAL MEDICAL GROUP INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Authorized official

Name
Peter Travis Riad Chang
Title
VP Healthcare Design
Phone
(813) 844-3829

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

17222 Hospital Blvd Ste 242
Brooksville, FL 34601-8925

Mailing address

PO Box 1289
Tampa, FL 33601-1289
Phone (813) 844-3956

Other names 1

  • TGMG General Surgery 17222 Hospital Boulevard Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tampa General Medical Group47 organizations share this tax ID, including this one
Part of
Tampa General Medical Group

Other organizations with this tax ID 46

Organizations that report the same tax identification number in the National Provider Directory.

View all 46

Locations

2501 W Kennedy Blvd
Tampa, FL 33609
Phone (813) 844-0344

NPI Registry JSON

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1043099211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1289",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336011289",
            "telephone_number": "813-844-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17222 HOSPITAL BLVD STE 242",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346018925",
            "telephone_number": "352-544-6145",
            "fax_number": "352-688-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA GENERAL MEDICAL GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TAMPA GENERAL MEDICAL GROUP INC",
        "enumeration_date": "2023-09-26",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "TRAVIS RIAD",
        "authorized_official_title_or_position": "VP HEALTHCARE DESIGN",
        "authorized_official_telephone_number": "813-844-3829"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TGMG General Surgery 17222 Hospital Boulevard",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.