Active NPI
TNT Medical Surgical Group Inc
- Surgical Physician Assistant
- Saint Johns, FL
National Provider Identifier
1376059352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA9106954
- Legal business name
- TNT MEDICAL SURGICAL GROUP INC
- Practice address
- 450 State Road 13 Ste 106
Saint Johns, FL 32259-3863 - Phone
- (440) 941-5325
- Fax
- (855) 811-3450
- NPI assigned
- Dec 28, 2017
- 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
- Antonio Mills, PA-C
- Title
- President
- Phone
- (216) 406-7173
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Surgery Physician | 208600000X | |||
| Surgical Physician Assistant | 363AS0400X | PA9106954 | FL | Primary |
Addresses
Primary practice location
450 State Road 13 Ste 106
Saint Johns, FL 32259-3863
Mailing address
450 State Road 13 Ste 106
Saint Johns, FL 32259-3863
Phone (440) 941-5325
National Provider Directory
National Provider DirectoryLocations
2050 Professional Center Dr
#D
Orange Park, FL 32073
Phone (904) 272-2550
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgical Physician Assistant
- Tampa, FL
- NPI 1073728705
-
- Internal Medicine Physician
- Elkhart, IN
- NPI 1588893036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1537142400000",
"number": "1376059352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 STATE ROAD 13 STE 106",
"city": "SAINT JOHNS",
"state": "FL",
"postal_code": "322593863",
"telephone_number": "440-941-5325",
"fax_number": "855-811-3450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 STATE ROAD 13 STE 106",
"city": "SAINT JOHNS",
"state": "FL",
"postal_code": "322593863",
"telephone_number": "440-941-5325",
"fax_number": "855-811-3450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TNT MEDICAL SURGICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-28",
"last_updated": "2018-09-17",
"status": "A",
"authorized_official_last_name": "MILLS",
"authorized_official_first_name": "ANTONIO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "216-406-7173",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA9106954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Johns, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.