Organization Active NPI

Mars Medical Group P a

  • Multi-Specialty Clinic/Center
  • Tampa, FL
National Provider Identifier
1215758107
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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, ABAAHPNPI 1568792570
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.