Active NPI
Deborah C. St. Clair, M.D.
- Family Medicine Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME123410
- Practice address
- 1315 S Howard Ave
Suite 102
Tampa, FL 33606-3193 - Phone
- (813) 350-9090
- Fax
- (813) 443-5783
- NPI assigned
- Nov 30, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 056040 | GA | |
| Family Medicine Physician | 207Q00000X | ME123410 | FL | Primary |
Addresses
Primary practice location
1315 S Howard Ave
Suite 102
Tampa, FL 33606-3193
Mailing address
1315 S Howard Ave
Suite 102
Tampa, FL 33606-3193
Phone (813) 350-9090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2017 through Apr 1, 2027
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Emory University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sports and Orthopedic Rehabilitation Services Inc
Practice addresses (Care Compare)
3411 S Dale Mabry Hwy
Tampa, FL 33629-8658
Phone (813) 742-9501
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056040 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients | |
| Lake Shore Hma, LLC | Past | Accepting new patients |
Interoperability endpoints
- dstclair98290@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- deborah.st.clair.1@25041.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
dba Shands Lake Shore Regional Medical Center
- General Acute Care Hospital
- Lake City, FL
- NPI 1386743045
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tampa General Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1235196510
-
dba St. Joseph's Women's Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
dba St. Joseph's Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438732800000",
"number": "1386628709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 S HOWARD AVE",
"address_2": "SUITE 102",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063193",
"telephone_number": "813-350-9090",
"fax_number": "813-443-5783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 S HOWARD AVE",
"address_2": "SUITE 102",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063193",
"telephone_number": "813-350-9090",
"fax_number": "813-443-5783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST. CLAIR",
"first_name": "DEBORAH",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-30",
"last_updated": "2015-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "056040",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME123410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
- St Josephs Diagnostic Center LLC (BayCare Outpatient Imaging)
- St Josephs Specialty Services Inc
- St Jude Mental Health LLC
- Emmanuella St Louis
- Nerline St Vil
- Hanna St. Denis
- Nicholas John St. Hilaire, D.C.
- Kristin Danielle St. John, PHARM.D.
- St. Joseph Rehabilitation, Inc.
- St. Joseph's Community Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- 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.