Pca Medical Group, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PCA MEDICAL GROUP, INC.

Doing business as

STARUS Medical Group

Practice address

34650 US 19 N
Suite 104
Palm Harbor, FL 34684-2155

Phone

(727) 789-2922

Fax

(727) 787-4288

NPI assigned

Sep 6, 2007

Last updated

Mar 14, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. C. Ross Berry, MBA, CMPE, FAAMA

Title

President & Ceo

Phone

(813) 440-4402

Specialties & licenses 1

Addresses

Other identifiers 9

Other names 1

• STARUS Medical Group Doing business as

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert G Baeten II, PA-C

  • Physician Assistant
  • Atlanta, GA
  • NPI 1942221692
  NPD
• Lyndon Lagunzad Cutillar, PA-C

  • Medical Physician Assistant
  • Davenport, FL
  • NPI 1265554380
  NPD (past)
• Udayabhasker Gangapuram Reddy, M.D.

  • Internal Medicine Physician
  • New Port Richey, FL
  • NPI 1083660633
  NPD (past)
• Pramati Reddy Kumbha, MD

  • Internal Medicine Physician
  • Zephyrhills, FL
  • NPI 1104951888
  NPD (past)
• Stephanie Passafume, ARNP

  • Family Nurse Practitioner
  • Land O' Lakes, FL
  • NPI 1316955263
  NPD (past)
• Mehul K Patel, MD

  • Internal Medicine Physician
  • Dunedin, FL
  • NPI 1003982570
  NPD (past)
• Shalini Reuben, M.D.

  • Internal Medicine Physician
  • New Port Richey, FL
  • NPI 1992752893
  NPD (past)
• Kaloutie Singh, ARNP

  • Adult Medicine Physician
  • New Port Richey, FL
  • NPI 1083640171
  NPD (past)

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1144415837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 N WEST SHORE BLVD",
            "address_2": "SUITE 780",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336073932",
            "telephone_number": "813-440-4402",
            "fax_number": "813-440-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34650 US 19 N",
            "address_2": "SUITE 104",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346842155",
            "telephone_number": "727-789-2922",
            "fax_number": "727-787-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCA MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "C.",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "813-440-4402",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA, CMPE, FAAMA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006386601",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006386602",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006386604",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006386603",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006386608",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006386600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006386606",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006386607",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006386605",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STARUS Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul R. Duryea DDS Ms PA
• Paul V McBride Chiroropractic Life Center
• Pautler Cohen Findlay Eichenbaum White and Crane MDS PA (Retina Vitreous Associates of FL)
• Gurubasanagouda Payappagoudar, M.D.
• Andrea Payne
• Thomas O. Pearson, M.D.
• Maizie Pease
• Michael Peebles, M.D.
• Amanda Jean Pellington, MS, LMHC
• Peluso Chiropractic Center PA

• Internal Medicine Physician in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.