Organization Active NPI

Monter Pediatrics, Inc

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1093817876
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MONTER PEDIATRICS, INC
Practice address
7620 Gunn Hwy
Ste 190
Tampa, FL 33625-3144
Phone
(813) 926-4203
Fax
(813) 792-7511
NPI assigned
Sep 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Steven Bennett Haag
Title
Treasurer/Office Manager
Phone
(813) 926-4203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

7620 Gunn Hwy
Ste 190
Tampa, FL 33625-3144

Mailing address

7620 Gunn Hwy
Ste 190
Tampa, FL 33625-3144
Phone (813) 926-4203

Other identifiers 2

IdentifierTypeStateIssuer
7491OtherBLUE CROSS BLUE SHIELD
123125OtherHUMANA

Other names 1

  • Gulf Coast Pediatrics & Family Practice Doing business as

National Provider Directory

National Provider Directory

Locations

7620 Gunn Hwy
Ste 190
Tampa, FL 33625
Phone (813) 920-3355

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093817876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7620 GUNN HWY",
            "address_2": "STE 190",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336253144",
            "telephone_number": "813-926-4203",
            "fax_number": "813-792-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7620 GUNN HWY",
            "address_2": "STE 190",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336253144",
            "telephone_number": "813-926-4203",
            "fax_number": "813-792-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTER PEDIATRICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAAG",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "BENNETT",
        "authorized_official_title_or_position": "TREASURER/OFFICE MANAGER",
        "authorized_official_telephone_number": "813-926-4203"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "7491",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "123125",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Coast Pediatrics & Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.