Organization Active NPI

Pioneer Medical Group Clinic Foundation

Doing business as Pioneer Medical Foundation

  • Primary Care Clinic/Center
  • Tampa, FL
National Provider Identifier
1679387278
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
PIONEER MEDICAL GROUP, PLAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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)CodeLicenseStatePrimary
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 Doing business as

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.

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.

Verify at the official NPI Registry.