Organization Active NPI

Tampa Lung Specialists, P.a.

  • Pulmonary Disease Physician
  • Tampa, FL
National Provider Identifier
1407971419
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
TAMPA LUNG SPECIALISTS, P.A.
Practice address
4129 N Armenia Ave
Ste B
Tampa, FL 33607-6436
Phone
(813) 879-3699
Fax
(813) 873-8469
NPI assigned
Mar 20, 2007
Last updated
Sep 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Peter S McIntire
Title
Admin
Phone
(813) 777-7823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X Primary

Addresses

Primary practice location

4129 N Armenia Ave
Ste B
Tampa, FL 33607-6436

Mailing address

4129 N Armenia Ave
Ste B
Tampa, FL 33607-6436
Phone (813) 879-3699

Other practice location 1

1601 W Timberlane Dr Ste 700
Plant City, FL 33566-0958
Phone (813) 879-3699

Other practice location 2

500 Vonderburg Dr Ste 201E
Brandon, FL 33511-5999
Phone (813) 879-3699

Other identifiers 1

IdentifierTypeStateIssuer
266378300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091002000199 FL Part B Supplier - Clinic/Group Practice 1557407624 Receives reassigned benefits from 30 practitioners
Practice locations: Brandon, FL; Plant City, FL; Tampa, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1001376Tampa Lung Specialists PA4129 N Armenia Ave, Tampa, FL 33607Certificate of waiverJul 8, 2028

National Provider Directory

National Provider Directory

Locations

500 Vonderburg Dr
Ste 201
Brandon, FL 33511

1601 W Timberlane Dr
Ste 700
Plant City, FL 33566
Phone (813) 879-3699

4129 N Armenia Ave
Tampa, FL 33607
Phone (813) 870-3342

4129 N Armenia Ave
Ste B
Tampa, FL 33607
Phone (813) 877-7526

Practitioners & affiliated clinicians

Practitioners 43

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.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1407971419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4129 N ARMENIA AVE",
            "address_2": "STE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076436",
            "telephone_number": "813-879-3699",
            "fax_number": "813-873-8469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4129 N ARMENIA AVE",
            "address_2": "STE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076436",
            "telephone_number": "813-879-3699",
            "fax_number": "813-873-8469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 W Timberlane Dr Ste 700",
            "address_purpose": "LOCATION",
            "city": "Plant City",
            "state": "FL",
            "postal_code": "335660958",
            "country_code": "US",
            "telephone_number": "813-879-3699",
            "fax_number": "813-873-8469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Vonderburg Dr Ste 201E",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115999",
            "country_code": "US",
            "telephone_number": "813-879-3699",
            "fax_number": "813-873-8469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TAMPA LUNG SPECIALISTS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "MCINTIRE",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "813-777-7823"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266378300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.

Verify at the official NPI Registry.