NPIMap

Organization Active NPI

Medcentral Corporation

Doing business as Causeway Medical Clinic

  • Primary Care Clinic/Center
  • Tampa, FL
National Provider Identifier
1447461355
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME0042771 Issued in FL
Legal business name
MEDCENTRAL CORPORATION
Doing business as
Causeway Medical Clinic
Horizon Multi-Specialty Clinic
Practice address
7108 Causeway Blvd
Tampa, FL 33619-6364
Phone
(813) 628-4400
Fax
(813) 628-4500
NPI assigned
May 24, 2007
Last updated
Aug 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Authorized official

Name
Dency RivasNPI 1861493900
Title
Owner
Phone
(813) 628-4400

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 9

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Primary Care Clinic/Center 261QP2300X ME0042771 FL Primary
Durable Medical Equipment & Medical Supplies 332B00000X
Chiropractor 111N00000X
Orthopaedic Surgery Physician 207X00000X
Physical Medicine & Rehabilitation Physician 208100000X
Neurology Physician 2084N0400X
General Practice Physician 208D00000X
Physical Therapist 225100000X

Addresses

Primary practice location

7108 Causeway Blvd
Tampa, FL 33619-6364

Mailing address

7108 Causeway Blvd
Tampa, FL 33619-6364
Phone (813) 628-4400

Other practice location 1

6821 W Hillsborough Ave Ste 10-11
Tampa, FL 33634-5003
Phone (813) 609-3983

Other practice location 2

6702 W Linebaugh Ave
Tampa, FL 33625-4953
Phone (813) 630-3059

Other practice location 3

8865 Commodity Cir Ste 7
Orlando, FL 32819-9077
Phone (407) 792-4110

Other identifiers 1

IdentifierTypeStateIssuer
061216200MedicaidFL

Other names 2

  • Causeway Medical Clinic Doing business as
  • Horizon Multi-Specialty Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110105000561 FL Part B Supplier - Clinic/Group Practice 5395934400 Receives reassigned benefits from 3 practitioners
Practice locations: Orlando, 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
10D0715000Medcentral Corporation D/B/a7108 Causeway Blvd, Tampa, FL 33619Certificate of waiverDec 6, 2026

National Provider Directory

National Provider Directory

Locations

6821 W Hillsborough Ave
Ste 1011
Tampa, FL 33634
Phone (813) 609-3983

7108 Causeway Blvd
Tampa, FL 33619
Phone (813) 628-4400

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596672000000",
    "number": "1447461355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 CAUSEWAY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336196364",
            "telephone_number": "813-628-4400",
            "fax_number": "813-628-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7108 CAUSEWAY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336196364",
            "telephone_number": "813-628-4400",
            "fax_number": "813-628-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6821 W Hillsborough Ave Ste 10-11",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336345003",
            "country_code": "US",
            "telephone_number": "813-609-3983",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6702 W Linebaugh Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336254953",
            "country_code": "US",
            "telephone_number": "813-630-3059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8865 Commodity Cir Ste 7",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328199077",
            "country_code": "US",
            "telephone_number": "407-792-4110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDCENTRAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A",
        "authorized_official_last_name": "RIVAS",
        "authorized_official_first_name": "DENCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-628-4400"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME0042771",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061216200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Causeway Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Horizon Multi-Specialty Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 6, 2020; 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.