West Florida Physician Network, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WEST FLORIDA PHYSICIAN NETWORK, LLC

Doing business as

HealthCare America Medical Group

Practice address

315 75TH St W
Bradenton, FL 34209-3201

Phone

(941) 761-1998

Fax

(877) 501-8537

NPI assigned

Jun 3, 2009

Last updated

Oct 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Tedrick Johnson

Title

Vice President/Ao

Phone

(615) 372-3375

Specialties & licenses 12

Addresses

Other identifiers 2

Other names 1

• HealthCare America Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• HCA Health Services of Florida, Inc.

  dba HCA Florida Bayonet Point Hospital

  • Rehabilitation Hospital Unit
  • Hudson, FL
  • NPI 1003524794

  Member Of

  NPD member

Locations

Practitioners 75

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.

• Amir A Ahmadian, M.D.

  • Neurological Surgery Physician
  • Wesley Chapel, FL
  • NPI 1073789335
  Medicare reassignment Care Compare group NPD
• Jaime Alberto Alvarez, M.D.

  • Neurological Surgery Physician
  • Fort Myers, FL
  • NPI 1760445167
  Medicare reassignment Care Compare group NPD
• Brittney Benson, ARNP

  • Nurse Practitioner
  • Bradenton, FL
  • NPI 1588040414
  Medicare reassignment Care Compare group NPD
• Maria Fernanda Castilla, M.D.

  • Surgery Physician
  • Port Charlotte, FL
  • NPI 1720222458
  Medicare reassignment Care Compare group NPD
• Tatiana Clark, A.R.N.P.

  • Gerontology Nurse Practitioner
  • Bradenton, FL
  • NPI 1891159752
  Medicare reassignment Care Compare group NPD
• Kenneth H Crager, MD

  • Rheumatology Physician
  • Bradenton, FL
  • NPI 1902891120
  Medicare reassignment Care Compare group NPD
• Lindsay M. Cuff, ARNP

  • Nurse Practitioner
  • Bradenton, FL
  • NPI 1447801261
  Medicare reassignment Care Compare group NPD
• Armen Robert Deukmedjian, M.D.

  • Neurological Surgery Physician
  • Wesley Chapel, FL
  • NPI 1760670889
  Medicare reassignment Care Compare group NPD
• Jordan Ashleigh Eaves, APRN

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1730901828
  Medicare reassignment Care Compare group NPD
• Kareem Riad Mostafa Eid, M.D.

  • Surgery Physician
  • Port Charlotte, FL
  • NPI 1649590118

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Francisco Higinio Esparza, MD

  • Neurology Physician
  • Bradenton, FL
  • NPI 1528053733
  Medicare reassignment Care Compare group NPD
• Ali Michelle Everett, APRN

  • Acute Care Nurse Practitioner
  • Bradenton, FL
  • NPI 1083302004
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1376779496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274525",
            "telephone_number": "615-373-7600",
            "fax_number": "866-346-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 75TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093201",
            "telephone_number": "941-761-1998",
            "fax_number": "877-501-8537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST FLORIDA PHYSICIAN NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-03",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "TEDRICK",
        "authorized_official_title_or_position": "VICE PRESIDENT/AO",
        "authorized_official_telephone_number": "615-372-3375"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "CD227A",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PROVIDER #",
            "identifier": "33271",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthCare America Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HealthCare America Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• West Coast Surgical Group PLLC
• West Florida Anesthesia Consultants, PA
• West Florida Anesthesia Trauma Services LLC
• West Florida Cardiology Network, LLC
• West Florida Carenow Urgent Care, LLC
• West Florida Surgery Center Inc
• West Florida Trauma Network, LLC
• West Florida Urgent Care Network, LLC (Urgent Care Center at Pinnacle)
• Addison Whitney West McCabe, DPT
• West Meade

• Internal Medicine Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.