North Tampa Executive Health, PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

NORTH TAMPA EXECUTIVE HEALTH, PLLC

Practice address

3500 E Fletcher Ave Ste 201
Tampa, FL 33613-4795

Phone

(813) 753-8836

NPI assigned

Mar 28, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Jack McGeachy, MDNPI 1467848218

Title

Manager

Phone

(813) 997-7942

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jack C McGeachy, M.D.

  • Emergency Medicine Physician
  • Tampa, FL
  • NPI 1467848218
  NPD Authorized official

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1144924754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 S BROAD ST # 192",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346013132",
            "telephone_number": "352-410-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 E FLETCHER AVE STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134795",
            "telephone_number": "813-753-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TAMPA EXECUTIVE HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "MCGEACHY",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-997-7942",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Pinellas Anesthesia Associates, PA
• North Star Therapy LLC
• North Tampa Anesthesia Consultants
• North Tampa Assisted Living Facility LLC.
• North Tampa Dental, P.a.
• North Tampa Hospitalists, LLC
• North Tampa Imaging LLC
• North Tampa Imaging LLC
• North Tampa Imaging LLC
• North Tampa Outpatient Surgical Facility LLC

• All providers in Tampa, FL
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.