Specialist Doctors Group LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SPECIALIST DOCTORS GROUP LLC

Practice address

210 N Alexander St
Plant City, FL 33563-4302

Phone

(813) 752-7222

Fax

(813) 752-7255

NPI assigned

Oct 1, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Michael SalvatoNPI 1952413445

Title

Medical Director

Phone

(813) 752-7222

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Anthony Salvato, M.D.

  • Family Medicine Physician
  • Plant City, FL
  • NPI 1952413445
  Medicare reassignment Care Compare group NPD Authorized official
• Eric Joel Breuggeman, DPM

  • Podiatrist
  • Lakeland, FL
  • NPI 1831159136
  Medicare reassignment Care Compare group NPD
• James D. Loebell, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Spring Hill, FL
  • NPI 1700839222
  Medicare reassignment Care Compare group NPD
• Megan Matassini Ziemer, D.P.M

  • Podiatrist
  • Winter Haven, FL
  • NPI 1891127304
  Medicare reassignment Care Compare group NPD
• Martin Thomas Girling, DPM

  • Foot & Ankle Surgery Podiatrist
  • Plant City, FL
  • NPI 1003804675
  Medicare reassignment NPD
• Laura E. Jones, ARNP

  • Family Nurse Practitioner
  • Brandon, FL
  • NPI 1871859439
  Medicare reassignment NPD
• Helen M Tepper, ARNP

  • Family Nurse Practitioner
  • Plant City, FL
  • NPI 1255316881
  Medicare reassignment NPD
• Gerarda Tamara Lascaze, PA-C MMS

  • Advanced Practice Midwife
  • Miami Shores, FL
  • NPI 1821423575
  Medicare reassignment

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1487963864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 770",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335470570",
            "telephone_number": "813-719-3525",
            "fax_number": "813-719-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N ALEXANDER ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335634302",
            "telephone_number": "813-752-7222",
            "fax_number": "813-752-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIST DOCTORS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-01",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "SALVATO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "813-752-7222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Plant City, FL
• Providers in Plant City, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.