CTM Healthcare LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME88894 Issued in FL

Legal business name

CTM HEALTHCARE LLC

Practice address

5503 E Busch Blvd
Temple Terrace, FL 33617-5419

Phone

(813) 200-7717

Fax

(813) 985-8500

NPI assigned

Jun 16, 2010

Last updated

Dec 8, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

INTERSTRIDE CORPORATIONAs reported in NPPES

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

Authorized official

Name

Dr. Colleen C Campbell, MD

Title

Medical Director

Phone

(813) 200-7717

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1457672180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5503 E BUSCH BLVD",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336175419",
            "telephone_number": "813-200-7717",
            "fax_number": "813-985-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5503 E BUSCH BLVD",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336175419",
            "telephone_number": "813-200-7717",
            "fax_number": "813-985-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CTM HEALTHCARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTERSTRIDE CORPORATION",
        "enumeration_date": "2010-06-16",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "813-200-7717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME88894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Joseph Creighton III, M.D.
• Zaria Cromartie
• Kevin Jeremiah Cronin, M.D.
• Alyssa N Crosby, OT
• Meghan Crumpton, APRN
• Brad Allen Cucchetti, D.O.
• Lebbet Cueto, PTA
• Curawell Health Solutions
• Kathleen Kerr Curran, APRN
• Tangina Curry

• Internal Medicine Physician in Temple Terrace, FL
• Providers in Temple Terrace, 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 Dec 8, 2011; 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.