Organization Active NPI

Gil Emmanuel a Mejia MD PA

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1073710653
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GIL EMMANUEL A MEJIA MD PA
Practice address
4102 W Linebaugh Ave
Ste 100
Tampa, FL 33624-5296
Phone
(813) 960-3436
Fax
(813) 960-3735
NPI assigned
Jun 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

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

Authorized official

Name
Vina Mejia Beech
Title
Health Service Manager
Phone
(813) 960-3436

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4102 W Linebaugh Ave
Ste 100
Tampa, FL 33624-5296

Mailing address

4102 W Linebaugh Ave
Ste 100
Tampa, FL 33624-5296
Phone (813) 960-3436

Other identifiers 6

IdentifierTypeStateIssuer
2244015OtherFLAETNA
369744OtherFLWELLCARE
AD169OtherFLPTAN
255428OtherFLAVMED
44247OtherFLBCBS
256054200MedicaidFL

National Provider Directory

National Provider Directory

Locations

4102 W Linebaugh Ave
Ste 100
Tampa, FL 33624
Phone (813) 960-3436

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258675200000",
    "number": "1073710653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 W LINEBAUGH AVE",
            "address_2": "STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336245296",
            "telephone_number": "813-960-3436",
            "fax_number": "813-960-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 W LINEBAUGH AVE",
            "address_2": "STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336245296",
            "telephone_number": "813-960-3436",
            "fax_number": "813-960-3735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIL EMMANUEL A MEJIA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2009-11-20",
        "status": "A",
        "authorized_official_last_name": "MEJIA BEECH",
        "authorized_official_first_name": "VINA",
        "authorized_official_title_or_position": "HEALTH SERVICE MANAGER",
        "authorized_official_telephone_number": "813-960-3436"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2244015",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "369744",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "AD169",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "255428",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "44247",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256054200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.