Organization Active NPI

Midtown Clinic, PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Zephyrhills, FL
National Provider Identifier
1275677254
Registry record updated May 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME0026500 Issued in FL
Legal business name
MIDTOWN CLINIC, PA
Practice address
5821 Gall Blvd
Zephyrhills, FL 33542-3455
Phone
(813) 788-5524
Fax
(813) 780-6472
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2011

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

Authorized official

Name
Dr. Abdul Ghani, MDNPI 1699711341
Title
Owner
Phone
(813) 788-5524

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
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X ME0026500 FL Primary

Addresses

Primary practice location

5821 Gall Blvd
Zephyrhills, FL 33542-3455

Mailing address

5821 Gall Blvd
Zephyrhills, FL 33542-3455
Phone (813) 788-5524

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120227000319 FL Part B Supplier - Clinic/Group Practice 1951569607 Receives reassigned benefits from 1 practitioner
Practice locations: Zephyrhills, FL

National Provider Directory

National Provider Directory

Locations

5821 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 779-9500

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": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304640000000",
    "number": "1275677254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 GALL BLVD",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335423455",
            "telephone_number": "813-788-5524",
            "fax_number": "813-780-6472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5821 GALL BLVD",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335423455",
            "telephone_number": "813-788-5524",
            "fax_number": "813-780-6472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2011-05-06",
        "status": "A",
        "authorized_official_last_name": "GHANI",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-788-5524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME0026500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.