Steven W Mock, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA1545 Issued in FL

Practice address

2553 Windguard Cir
Wesley Chapel, FL 33544

Phone

(813) 388-2948

Fax

(813) 388-6827

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Tampa Institute for Pain and Spine, LLC

  • Interventional Pain Medicine Physician
  • Riverview, FL
  • NPI 1134571128
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1467486605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 WINDGUARD CIR STE 102",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335447355",
            "telephone_number": "813-388-2948",
            "fax_number": "813-388-6827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2553 WINDGUARD CIR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "33544",
            "telephone_number": "813-388-2948",
            "fax_number": "813-388-6827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38011 Arbor Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Zephyrhills",
            "state": "FL",
            "postal_code": "335401301",
            "country_code": "US",
            "telephone_number": "813-395-5127",
            "fax_number": "813-355-3085",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "426 W Brandon Blvd",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115002",
            "country_code": "US",
            "telephone_number": "813-388-2948",
            "fax_number": "813-388-6827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13140 Elk Mountain Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "335797182",
            "country_code": "US",
            "telephone_number": "813-388-2948",
            "fax_number": "813-574-7761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOCK",
        "first_name": "STEVEN",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA1545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291537500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Medical Physician Assistant in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.