Organization Active NPI

Henry J O'Neal, M.D.,P.a.

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1548264203
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME46531 Issued in FL
Legal business name
HENRY J O'NEAL, M.D.,P.A.
Practice address
13701 Bruce B Downs Blvd
Ste 113
Tampa, FL 33613-4647
Phone
(813) 971-8088
Fax
(813) 971-3871
NPI assigned
Jun 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Authorized official

Name
Ms. Candy Tubin
Title
Office Manager
Phone
(813) 971-8088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME46531 FL Primary

Addresses

Primary practice location

13701 Bruce B Downs Blvd
Ste 113
Tampa, FL 33613-4647

Mailing address

13701 Bruce B Downs Blvd
Ste 113
Tampa, FL 33613-4647
Phone (813) 971-8088

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101228000192 FL Part B Supplier - Clinic/Group Practice 0547458002 Receives reassigned benefits from 1 practitioner
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Locations

13701 Bruce B Downs Blvd
Ste 113
Tampa, FL 33613
Phone (813) 971-2351

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1548264203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13701 BRUCE B DOWNS BLVD",
            "address_2": "STE 113",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134647",
            "telephone_number": "813-971-8088",
            "fax_number": "813-971-3871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13701 BRUCE B DOWNS BLVD",
            "address_2": "STE 113",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134647",
            "telephone_number": "813-971-8088",
            "fax_number": "813-971-3871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY J O'NEAL, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "TUBIN",
        "authorized_official_first_name": "CANDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "813-971-8088",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME46531",
            "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 Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.