Organization Active NPI

Saint Thomas Clinic PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Spring Hill, FL
National Provider Identifier
1205065059
Registry record updated Nov 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
ME101584 Issued in FL
Legal business name
SAINT THOMAS CLINIC PLLC
Practice address
7056 Mariner Blvd
Spring Hill, FL 34609-1000
Phone
(352) 610-4408
NPI assigned
Jul 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2014

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

Authorized official

Name
Hany Abskhroun, MDNPI 1518121334
Title
Physician Owner
Phone
(352) 610-4408

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X ME101584 FL Primary

Addresses

Primary practice location

7056 Mariner Blvd
Spring Hill, FL 34609-1000

Mailing address

7056 Mariner Blvd
Spring Hill, FL 34609-1000
Phone (352) 610-4408

Other identifiers 1

IdentifierTypeStateIssuer
1518121334OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091116000472 FL Part B Supplier - Clinic/Group Practice 1951449735 Receives reassigned benefits from 1 practitioner
Practice locations: Spring Hill, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1107463Saint Thomas Clinic7056 Mariner Blvd, Spring Hill, FL 34609Certificate of waiverNov 4, 2027

National Provider Directory

National Provider Directory

Locations

2617 Forest Rd
Spring Hill, FL 34606
Phone (313) 289-2515

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414972800000",
    "number": "1205065059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7056 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346091000",
            "telephone_number": "352-610-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7056 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346091000",
            "telephone_number": "352-610-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT THOMAS CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2014-11-03",
        "status": "A",
        "authorized_official_last_name": "ABSKHROUN",
        "authorized_official_first_name": "HANY",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "352-610-4408",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME101584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1518121334",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.