NPIMap

Organization Active NPI

Ohi West Medical Group, LLC

Doing business as Bayfront Health St. Petersburg Medical Group Urgent Care

  • Urgent Care Clinic/Center
  • St Petersburg, FL
National Provider Identifier
1619583184
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
OHI WEST MEDICAL GROUP, LLC
Doing business as
Bayfront Health St. Petersburg Medical Group Urgent Care
Practice address
7000 4TH St N
Saint Petersburg, FL 33702-5903
Phone
(727) 823-1234
NPI assigned
Sep 21, 2020
Last updated
Oct 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Authorized official

Name
Michele Napier
Title
VP, Revenue Management & Cro
Phone
(321) 841-3492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

7000 4TH St N
Saint Petersburg, FL 33702-5903

Mailing address

3090 Caruso CT Ste 50
Orlando, FL 32806-8510
Phone (407) 481-7174

Other names 1

  • Bayfront Health St. Petersburg Medical Group Urgent Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201105000368 FL Part B Supplier - Clinic/Group Practice 2668882507 Receives reassigned benefits from 293 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: St Petersburg, FL; Tampa, FL; Brandon, FL; Lutz, FL; Riverview, FL; Saint Petersburg, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Bayfront Health St Petersburg Medical Group Urgent Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4200 54th Ave S
St Petersburg, FL 33711
Phone (727) 864-7831

603 7th St S
Ste 400
St Petersburg, FL 33701
Phone (727) 553-7420

700 6th St S
Fl 3
St Petersburg, FL 33701
Phone (727) 893-6116

725 6th Ave S
Ste 1200
St Petersburg, FL 33701
Phone (727) 553-7355

725 6th Ave S
Ste 4200
St Petersburg, FL 33701
Phone (727) 553-7140

Practitioners & affiliated clinicians

Practitioners 90

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.

View all 90

NPI Registry JSON

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1619583184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3090 CARUSO CT STE 50",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328068510",
            "telephone_number": "407-481-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 4TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337025903",
            "telephone_number": "727-823-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHI WEST MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "NAPIER",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "VP, REVENUE MANAGEMENT & CRO",
        "authorized_official_telephone_number": "321-841-3492"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayfront Health St. Petersburg Medical Group Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.