Individual provider Active NPI

Omar Garcia, M.D, M.P.H

  • Occupational Medicine Physician
  • Tampa, FL
National Provider Identifier
1114100898
Registry record updated Apr 15, 2019
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Jan 19, 2022.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
ME 127962 Issued in FL
Practice address
4104 W Linebaugh Ave
Tampa, FL 33624-5239
Phone
(813) 333-2226
NPI assigned
Dec 17, 2007
Last updated
Apr 15, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Technologist 246ZS0410X 238.000173 IL
Occupational Medicine Physician 2083X0100X 036.124389 IL
Occupational Medicine Physician 2083X0100X ME 127962 FL Primary
Occupational Medicine Physician 2083X0100X C1-0011674 DE
Occupational Medicine Physician 2083X0100X 35.127094 OH

Addresses

Primary practice location

4104 W Linebaugh Ave
Tampa, FL 33624-5239

Mailing address

13449 Canopy Creek Dr
Tampa, FL 33625-5915
Phone (352) 369-0104

Other practice location 1

34351 Walnut ave.
Wilmington, IL 60481
Phone (815) 926-2103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C1-0011674DEMDOccupational Medicine Physician
ME 127962FLMDOccupational Medicine Physician
036.124389ILMDOccupational Medicine Physician
35.127094OHMDOccupational Medicine Physician
238.000173ILMDSurgical Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Medical Specialists LLC Past Accepting new patients
Chicago Physicians Group LLC PastSince Oct 1, 2014 Accepting new patients
Home and Wound Care Physicians PC PastSince Jul 5, 2011 Accepting new patients
Advanced Health SC PastSince Apr 3, 2000 Accepting new patients
Healthy Connection Physical Medicine Addison Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1114100898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13449 CANOPY CREEK DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336255915",
            "telephone_number": "352-369-0104",
            "fax_number": "352-369-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 W LINEBAUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336245239",
            "telephone_number": "813-333-2226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34351 Walnut ave.",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "IL",
            "postal_code": "60481",
            "country_code": "US",
            "telephone_number": "815-926-2103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "M.D, M.P.H",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-17",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "IL",
            "license": "238.000173",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "IL",
            "license": "036.124389",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "FL",
            "license": "ME 127962",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "DE",
            "license": "C1-0011674",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "OH",
            "license": "35.127094",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.