Active NPI
Pioneer Medical Group Clinic Foundation
Doing business as Pioneer Medical Foundation
- Primary Care Clinic/Center
- Tampa, FL
National Provider Identifier
1679387278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- PIONEER MEDICAL GROUP CLINIC FOUNDATION
- Doing business as
- Pioneer Medical Foundation
- Practice address
- 3500 E Fletcher Ave Ste 222
Tampa, FL 33613-4712 - Phone
- (813) 450-7231
- Fax
- (786) 868-0001
- NPI assigned
- Feb 4, 2025
- Last updated
- Feb 4, 2025
- Organization subpart
- Yes
- Parent organization
- PIONEER MEDICAL GROUP, PL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Masood Khan, MD
- Title
- Vice President
- Phone
- (813) 943-7784
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | NU | Primary |
Addresses
Primary practice location
3500 E Fletcher Ave Ste 222
Tampa, FL 33613-4712
Mailing address
13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926
Phone (813) 450-7231
Other practice location 1
7050 Gall Blvd
Zephyrhills, FL 33541-1347
Phone (813) 450-7231
Other names 1
- Pioneer Medical Foundation
National Provider Directory
National Provider Directory- Part of
- Pioneer Medical Group PL
Locations
3500 E Fletcher Ave
Ste 222
Tampa, FL 33613
Phone (813) 450-7231
7050 Gall Blvd
Zephyrhills, FL 33541
Phone (813) 779-1209
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Internal Medicine Physician
- Temple Terrace, FL
- NPI 1710315775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738627200000",
"number": "1679387278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13067 N TELECOM PKWY",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336370926",
"telephone_number": "813-450-7231",
"fax_number": "786-868-0001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 E FLETCHER AVE STE 222",
"city": "TAMPA",
"state": "FL",
"postal_code": "336134712",
"telephone_number": "813-450-7231",
"fax_number": "786-868-0001"
}
],
"practiceLocations": [
{
"address_1": "7050 Gall Blvd",
"address_purpose": "LOCATION",
"city": "Zephyrhills",
"state": "FL",
"postal_code": "335411347",
"country_code": "US",
"telephone_number": "813-450-7231",
"fax_number": "786-868-0001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PIONEER MEDICAL GROUP CLINIC FOUNDATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PIONEER MEDICAL GROUP, PL",
"enumeration_date": "2025-02-04",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "MASOOD",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "813-943-7784",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pioneer Medical Foundation",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.