Pioneer Medical Group, PL
Organization Active NPI Internal Medicine Physician · Temple Terrace, FL
NPI 1710315775 · NPPES record last updated Jun 5, 2020
Key facts
- NPI
- 1710315775
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- PIONEER MEDICAL GROUP, PL
- Practice address
- 13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926 - Phone
- (813) 779-6303
- Fax
- (888) 977-1998
- NPI assigned
- Oct 29, 2013
- Organization subpart
- No
Authorized official
- Name
- Syed I Ali, MD
- Title
- Owner
- Phone
- (813) 779-6303
Subparts reporting this organization as parent 2
Practitioners 237
-
Matthew M Acton, D.O.
-
Hibah Ahmad, M.D.
-
Carmel Portillo Alamban, APRN
-
Anuradha Bhavsar, M.D.
-
Kailah Costello, APRN
-
Jan Lorraine C David, APRN
-
Shawna R Edge, APRN
-
Shandell Nicole Elliott, APRN
-
Elriane Miline Eugene, APRN
-
Shayan Faiq, M.D.
-
Tiffany Falcon, FNP-C APRN
-
Adolph Flowers, M.D.
-
Oliver Fowler, DO
-
Jaelenne Garcia Garcia, APRN
-
Anusha Ghaffar, MD
-
Annalisia Giddens, APRN
-
Mark L Glickfeld, MD
-
Haseeb Shahid Hashmi, M.D.
-
Nishit Jailwala, M.D.
-
Belinda Bernard Johnson, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140110000843 | FL | Part B Supplier - Clinic/Group Practice | 8224266655 |
Receives reassigned benefits from 233 practitioners Practice locations: Dunedin, FL; Zephyrhills, FL; Temple Terrace, FL; Tarpon Springs, FL; Tampa, FL; Sebring, FL; Dade City, FL; Saint Cloud, FL… |
National Provider Directory
Locations
3822 W Broward Blvd
Fort Lauderdale, FL 33312
2450 N Orange Blossom Trl
Kissimmee, FL 34744
Phone (407) 846-4343
221 Park Place Blvd
Kissimmee, FL 34741
Phone (407) 900-4885
14155 Town Loop Blvd
Orlando, FL 32837
Phone (407) 234-0670
10857 Park Dr
Riverview, FL 33569
3908 Flatiron Loop
Unit 10
Wesley Chapel, FL 33544
26844 Tanic Dr
Ste 101
Wesley Chapel, FL 33544
3908 Flatiron Loop
Unit 101
Wesley Chapel, FL 33544
Phone (813) 929-5470
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | Yes | ||
| Critical Care Medicine (Internal Medicine) Physician |
207RC0200X | |||
| Geriatric Medicine (Internal Medicine) Physician |
207RG0300X | |||
| Pulmonary Disease Physician |
207RP1001X | |||
| Neurology Physician |
2084N0400X | |||
| Hospitalist Physician |
208M00000X | |||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X | |||
| Acute Care Nurse Practitioner |
363LA2100X | |||
| Adult Health Nurse Practitioner |
363LA2200X | |||
| Critical Care Medicine Nurse Practitioner |
363LC0200X | |||
| Family Nurse Practitioner |
363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | |||
| Women's Health Nurse Practitioner |
363LW0102X |
Addresses
Primary practice location
13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926
Mailing address
13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926
Phone (813) 779-6303
Other providers in Temple Terrace, FL
- Edline Pierre
- Renan Pimentel Valdivia
- Jesse William Ping
- Tamara Pinkard
- Pinnacle Chiropractic Care LLC
- Pioneer Monongalia Medical Group PLLC
- Pioneer Psychiatry Services LLC
- Sandra Pizzurro
- Arellys Damiana Plaza Cedeno
- Nicole R Ploger
All providers in Temple Terrace, 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 Jun 5, 2020. 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.