Active NPI
Town N Country Medical Care LLC
Doing business as Shital Mehta
- Primary Care Clinic/Center
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- TOWN N COUNTRY MEDICAL CARE LLC
- Doing business as
- Shital Mehta
- Practice address
- 6107 Memorial Hwy Ste a
Tampa, FL 33615-4564 - Phone
- (813) 514-2328
- Fax
- (813) 514-2485
- NPI assigned
- Mar 12, 2021
- Last updated
- Mar 12, 2021
- 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. Shital Mehta, DO
- Title
- Owner
- Phone
- (813) 486-6442
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | NU | Primary |
Addresses
Primary practice location
6107 Memorial Hwy Ste a
Tampa, FL 33615-4564
Mailing address
6107 Memorial Hwy Ste a
Tampa, FL 33615-4564
Phone (813) 514-2328
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861460610 | Medicaid | FL |
Other names 1
- Shital Mehta
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | emr | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
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 |
|---|---|---|---|
| 10D2220893 | Town N Country Medical Care LLC | Certificate of waiver | Apr 14, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
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.
-
- Internal Medicine Physician
- Wesley Chapel, FL
- NPI 1861460610
-
- Internal Medicine Physician
- Wesley Chapel, FL
- NPI 1760613012
-
- Medical Physician Assistant
- Tampa, FL
- NPI 1134523525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615507200000",
"number": "1356926240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6107 MEMORIAL HWY STE A",
"city": "TAMPA",
"state": "FL",
"postal_code": "336154564",
"telephone_number": "813-514-2328",
"fax_number": "813-514-2485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6107 MEMORIAL HWY STE A",
"city": "TAMPA",
"state": "FL",
"postal_code": "336154564",
"telephone_number": "813-514-2328",
"fax_number": "813-514-2485"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN N COUNTRY MEDICAL CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-12",
"last_updated": "2021-03-12",
"certification_date": "2021-03-12",
"status": "A",
"authorized_official_last_name": "MEHTA",
"authorized_official_first_name": "SHITAL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "813-486-6442",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1861460610",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "emr",
"affiliation": "N",
"endpointDescription": "emr",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6107 Memorial Hwy Ste A",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336154564",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Shital Mehta",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tampa, FL
- Town & Country Internal Medicine, PA
- Town & Country Primary Care Doctors LLC
- Town and Country Medical Group, LLC. (Revello Medical Center)
- Town Medical and Rehab Center (solmed)
- Town N Country Medical (Town N Country Medical Care)
- Alysia Townsend, CAA
- Arik Townsend, CAA
- Jessica Townsend
- Keiosha Townsend
- Leatrice Ione Townsend, ARNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.