Active NPI
Bartow Hma Physician Management, LLC
- Urology Physician
- Lakeland, FL
National Provider Identifier
1275622995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- BARTOW HMA PHYSICIAN MANAGEMENT, LLC
- Practice address
- 3644 Innovation Dr
Lakeland, FL 33812-4105 - Phone
- (863) 701-2053
- Fax
- (863) 646-5834
- NPI assigned
- Oct 12, 2006
- Organization subpart
- Yes
- Parent organization
- HEALTH MANAGEMENT ASSOCIATES, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael L Gingras
- Title
- Vice President
- Phone
- (239) 598-3131
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | |||
| Vascular Surgery Physician | 2086S0129X | |||
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
3644 Innovation Dr
Lakeland, FL 33812-4105
Mailing address
5811 Pelican Bay Blvd
Suite 500
Naples, FL 34108-2733
Phone (239) 598-3131
Other names 1
- Southpoint Medical Group
National Provider Directory
National Provider DirectoryLocations
2000 Osprey Blvd
Ste 105
Bartow, FL 33830
Phone (863) 533-0753
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- University Park, FL
- NPI 1497765580
-
- Obstetrics & Gynecology Physician
- Glasgow, KY
- NPI 1649366949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1353888000000",
"number": "1275622995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5811 PELICAN BAY BLVD",
"address_2": "SUITE 500",
"city": "NAPLES",
"state": "FL",
"postal_code": "341082733",
"telephone_number": "239-598-3131",
"fax_number": "239-598-9433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3644 INNOVATION DR",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338124105",
"telephone_number": "863-701-2053",
"fax_number": "863-646-5834"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARTOW HMA PHYSICIAN MANAGEMENT, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HEALTH MANAGEMENT ASSOCIATES, INC.",
"enumeration_date": "2006-10-12",
"last_updated": "2012-11-26",
"status": "A",
"authorized_official_last_name": "GINGRAS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "239-598-3131",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Southpoint Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.