Thomas E Austin, M.D.
Individual provider Active NPI Internal Medicine Physician · Clearwater, FL
NPI 1669470746 · NPPES record last updated Jul 16, 2021
Key facts
- NPI
- 1669470746
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- ME0071452 (FL)
- Practice address
- 611 Druid Rd E Ste 511
Clearwater, FL 33756-3942 - Phone
- (727) 601-4007
- Fax
- (727) 250-1102
- NPI assigned
- Jul 12, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031201000758 | FL | Practitioner - Internal Medicine | 2365347564 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0071452 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Medical Associates LLC | Current |
Accepting new patients | |
| Ante Rudez MD PA | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Thomas E Austin MD PA | Internal Medicine | Past |
Accepting new patients |
Locations
611 Druid Rd E
Ste 511
Clearwater, FL 33756
Phone (727) 442-0500
13940 N US Highway 441
Ste 102
Lady Lake, FL 32159
Phone (352) 509-9900
601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME0071452 | FL | Yes |
Addresses
Primary practice location
611 Druid Rd E Ste 511
Clearwater, FL 33756-3942
Mailing address
611 Druid Rd E Ste 511
Clearwater, FL 33756-3942
Phone (727) 601-4007
Other providers in Clearwater, FL
- Austin Respiratory Equipment, Inc.
- Llalando L Austin
- Meredith Austin
- Nicole Austin
- Sharon Austin
- Authentic Living Center, LLC
- Melissa R Autieri
- Yulia Avdeenko
- Avee Inc
- Avee Laboratories Inc
All providers in Clearwater, FL · Internal Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.