Organization Active NPI

J T Erwin MD PA

  • Internal Medicine Physician
  • Hudson, FL
National Provider Identifier
1225070832
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0041218 Issued in FL
Legal business name
J T ERWIN MD PA
Practice address
12843 US Hwy 19
Hudson, FL 34667
Phone
(727) 863-5242
Fax
(727) 868-0823
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
J T Erwin, MD PA
Title
Physician President
Phone
(727) 863-5242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X ME0041218 FL Primary

Addresses

Primary practice location

12843 US Hwy 19
Hudson, FL 34667

Mailing address

12843 US Hwy 19
Hudson, FL 34667
Phone (727) 863-5242

National Provider Directory

National Provider Directory

Locations

15225 US Highway 19
Ste 201
Hudson, FL 34667
Phone (727) 863-5263

12843 US Highway 19
Hudson, FL 34667
Phone (727) 863-5242

Practitioners & affiliated clinicians

Practitioners 5

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": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225070832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12843 US HWY 19",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "34667",
            "telephone_number": "727-863-5242",
            "fax_number": "727-868-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12843 US HWY 19",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "34667",
            "telephone_number": "727-863-5242",
            "fax_number": "727-868-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J T ERWIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ERWIN",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICIAN PRESIDENT",
        "authorized_official_telephone_number": "727-863-5242",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0041218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.