Active NPI
Medical Development Corporation of Pasco County, Inc
- Ambulatory Surgical Clinic/Center
- Hudson, FL
National Provider Identifier
1306995063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 894
- Legal business name
- MEDICAL DEVELOPMENT CORPORATION OF PASCO COUNTY, INC
- Practice address
- 7315 Hudson Ave
Hudson, FL 34667-1158 - Phone
- (727) 868-9563
- Fax
- (727) 869-6909
- NPI assigned
- Jan 10, 2007
- 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
- Mrs. Cecilia O'Ryan
- Title
- Administrator
- Phone
- (727) 868-9563
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 894 | FL | Primary |
Addresses
Primary practice location
7315 Hudson Ave
Hudson, FL 34667-1158
Mailing address
PO Box 5485
Hudson, FL 34674-5485
Phone (727) 868-9563
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ASC0000628 | Other | FL | WORKMAN COMP |
| 642 | Other | FL | BLUE CROSS |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1011494 | Medical Development Corporation of Pasco County | Certificate of waiver | Apr 13, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1306995063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5485",
"city": "HUDSON",
"state": "FL",
"postal_code": "346745485",
"telephone_number": "727-868-9563",
"fax_number": "727-869-6909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7315 HUDSON AVE",
"city": "HUDSON",
"state": "FL",
"postal_code": "346671158",
"telephone_number": "727-868-9563",
"fax_number": "727-869-6909"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL DEVELOPMENT CORPORATION OF PASCO COUNTY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "O'RYAN",
"authorized_official_first_name": "CECILIA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "727-868-9563",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "FL",
"license": "894",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKMAN COMP",
"identifier": "ASC0000628",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "642",
"state": "FL"
}
],
"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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.