Active NPI
Joshua A Multack, D.O.
- Hospitalist Physician
- Port Charlotte, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- OS12381
- Practice address
- 2343 Aaron St
Port Charlotte, FL 33952-5305 - Phone
- (877) 856-3774
- NPI assigned
- Mar 20, 2008
- Last updated
- Oct 2, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | OS12381 | FL | |
| Hospitalist Physician | 208M00000X | OS12381 | FL | Primary |
Addresses
Primary practice location
2343 Aaron St
Port Charlotte, FL 33952-5305
Mailing address
2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774
Other practice location 1
616 Clearwater Park Rd Apt 1401
West Palm Beach, FL 33401-6250
Phone (305) 772-0134
Other practice location 2
1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-4225
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SE729 | Other | FL | MEDICARE HF |
| 105027100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, AL, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
203 N Marion St
FL 2
Tampa, FL 33602-4914
Phone (813) 428-6904
6101 Pine Ridge Rd
Naples, FL 34119-3900
Phone (239) 348-4000
9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Phone (239) 343-2606
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2924 | TN | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Specialists Group | Internal Medicine | Current | Accepting new patients |
| Millennium Physician Group LLC | Family Medicine | Current | Accepting new patients |
| West Palm Beach Physician Group Inc | Hospitalist | Current | Accepting new patients |
| CHI Health Clinic Specialty, LLC | Family Medicine | Current | Accepting new patients |
| Cape Coral Hospitalists Inc | Internal Medicine | Current | Accepting new patients |
| Inpatient Consultants of Florida, Inc | Internal Medicine | Current | Accepting new patients |
| Appleton Intensivist Group, LLC | Critical Care Medicine | Current | Accepting new patients |
| Inpatient Consultants of Florida Inc | Internal Medicine | Current | Accepting new patients |
| Wiregrass Clinic LLC | Family Medicine | Current | Accepting new patients |
| Hospital Physician Services of Florida PA | Family Medicine | Current | Accepting new patients |
| Premier Inpatient Partners LLC | Internal Medicine | Current | Accepting new patients |
| Sheridan Healthcorp, Inc. | Current | Accepting new patients | |
| Sheridan Healthcorp Inc | Current | Accepting new patients | |
| Lee Health System Inc | Current | Accepting new patients | |
| Millennium Physician Group LLC | Family Medicine | Current | Accepting new patients |
| Inpatient Consultants of Florida, Inc | Internal Medicine | Current | Accepting new patients |
| Lee Health System Inc | Family Medicine | Current | Accepting new patients |
| Inpatient Specialists Group | Internal Medicine | Current | Accepting new patients |
| Sheridan Healthcorp, Inc | Current | Accepting new patients |
Locations (25 of 37)
4300 W Main St
Ste 21
Dothan, AL 36305
Phone (334) 699-7900
800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100
2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277
119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150
1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900
636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344
13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000
2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 332-5344
5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549
12961 Palms West Dr
Loxahatchee, FL 33470
Phone (561) 793-0437
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131
2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151
11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000
8300 Collier Blvd
Naples, FL 34114
Phone (239) 348-4000
3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108
1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500
4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://api.platform.athenahealth.com/14267/brand/6/csg/1/fhir/r4
Organizations & group practices 19
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.
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1073008579
-
- Critical Care Medicine (Internal Medicine) Physician
- Ocala, FL
- NPI 1407411796
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1336209790
-
- Hospitalist Physician
- Pensacola, FL
- NPI 1558718635
Family Medicine
-
- Internal Medicine Physician
- Orange Park, FL
- NPI 1396795597
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
- Anesthesiology Physician
- Okeechobee, FL
- NPI 1629781711
-
- Hospitalist Physician
- Boca Raton, FL
- NPI 1235231465
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tampa General Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1235196510
-
dba Gulf Coast Medical Center
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1366281750
-
dba Cape Coral Hospital
- General Acute Care Hospital
- Cape Coral, FL
- NPI 1780429076
-
dba Physicians Regiona Medical Center-Collier
- General Acute Care Hospital
- Naples, FL
- NPI 1215003348
-
dba Physicians Regional Medical Center-Pine Ridge
- General Acute Care Hospital
- Naples, FL
- NPI 1316992134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1164693891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 WINKLER AVE FL 2",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019342",
"telephone_number": "877-856-3774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2343 AARON ST",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339525305",
"telephone_number": "877-856-3774"
}
],
"practiceLocations": [
{
"address_1": "616 Clearwater Park Rd Apt 1401",
"address_purpose": "LOCATION",
"city": "West Palm Beach",
"state": "FL",
"postal_code": "334016250",
"country_code": "US",
"telephone_number": "305-772-0134",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1350 Hickory St",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329013224",
"country_code": "US",
"telephone_number": "321-434-4225",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MULTACK",
"first_name": "JOSHUA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-20",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "FL",
"license": "OS12381",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "OS12381",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE HF",
"identifier": "SE729",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105027100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.