Active NPI
Gil Emmanuel a Mejia MD PA
- Internal Medicine Physician
- Tampa, FL
National Provider Identifier
1073710653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2244015 | Other | FL | AETNA |
| 369744 | Other | FL | WELLCARE |
| AD169 | Other | FL | PTAN |
| 255428 | Other | FL | AVMED |
| 44247 | Other | FL | BCBS |
| 256054200 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1306817135
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.