Organization Active NPI

Gregory McFadden Mdpa

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1407990450
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME47498 Issued in FL
Legal business name
GREGORY MCFADDEN MDPA
Practice address
2901 W Saint Isabel St
Suite #A3
Tampa, FL 33607-6371
Phone
(813) 874-2642
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Authorized official

Name
Gregory McFadden
Title
Owner
Phone
(813) 767-6322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME47498 FL Primary

Addresses

Primary practice location

2901 W Saint Isabel St
Suite #A3
Tampa, FL 33607-6371

Mailing address

4308 Ellenville PL
Valrico, FL 33594-7147

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1407990450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 ELLENVILLE PL",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335947147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 W SAINT ISABEL ST",
            "address_2": "SUITE #A3",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076371",
            "telephone_number": "813-874-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY MCFADDEN MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "MCFADDEN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-767-6322"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME47498",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.