Active NPI
Phyamerica Hospital Specialists LLC
- Hospitalist Physician
- Port Charlotte, FL
National Provider Identifier
1710119458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- ME79271
- Legal business name
- PHYAMERICA HOSPITAL SPECIALISTS LLC
- Practice address
- 21298 Olean Blvd
Port Charlotte, FL 33952-6705 - Phone
- (941) 468-2719
- Fax
- (941) 492-7184
- NPI assigned
- Aug 13, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Claude J Mason, MD
- Title
- Owner
- Phone
- (941) 468-2719
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | ME79271 | FL | Primary |
Addresses
Primary practice location
21298 Olean Blvd
Port Charlotte, FL 33952-6705
Mailing address
21298 Olean Blvd
Port Charlotte, FL 33952-6705
Phone (941) 468-2719
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME 79271 | Other | FL | LICENSE NUMBER |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Sarasota, FL
- NPI 1467455345
-
- Family Medicine Physician
- Sarasota, FL
- NPI 1629062864
-
- Internal Medicine Physician
- Sarasota, FL
- NPI 1740216118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1250121600000",
"number": "1710119458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21298 OLEAN BLVD",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339526705",
"telephone_number": "941-468-2719",
"fax_number": "941-492-7184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21298 OLEAN BLVD",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339526705",
"telephone_number": "941-468-2719",
"fax_number": "941-492-7184"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYAMERICA HOSPITAL SPECIALISTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-13",
"last_updated": "2009-08-13",
"status": "A",
"authorized_official_last_name": "MASON",
"authorized_official_first_name": "CLAUDE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "941-468-2719",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Hospitalist",
"state": "FL",
"license": "ME79271",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "ME 79271",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.