Active NPI
Mars Medical Group P a
- Multi-Specialty Clinic/Center
- Tampa, FL
National Provider Identifier
1215758107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- MARS MEDICAL GROUP P A
- Practice address
- 3816 W Morrison Ave
Tampa, FL 33629-4437 - Phone
- (813) 833-1355
- NPI assigned
- Oct 23, 2024
- Last updated
- Nov 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregory S Youtz, PA-C, FAAMM, ABAAHP
- Title
- President, Ceo
- Phone
- (813) 833-1355
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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | NU | Primary | |
| Pain Clinic/Center | 261QP3300X | NU | ||
| Physician Assistant | 363A00000X | NU | ||
| Nurse Practitioner | 363L00000X | NU | ||
| Pain Medicine Physician | 208VP0000X | NU |
Addresses
Primary practice location
3816 W Morrison Ave
Tampa, FL 33629-4437
Mailing address
2812 W Alline Ave
Tampa, FL 33611-2806
Phone (813) 833-1355
National Provider Directory
National Provider DirectoryLocations
3816 W Morrison Ave
Tampa, FL 33629
Phone (813) 833-1355
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Physician Assistant
- Tampa, FL
- NPI 1568792570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730764800000",
"number": "1215758107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2812 W ALLINE AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336112806",
"telephone_number": "813-833-1355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3816 W MORRISON AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336294437",
"telephone_number": "813-833-1355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARS MEDICAL GROUP P A",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-23",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A",
"authorized_official_last_name": "YOUTZ",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT, CEO",
"authorized_official_telephone_number": "813-833-1355",
"authorized_official_credential": "PA-C, FAAMM, ABAAHP"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.