NPIMap

Organization Active NPI

Medical Associates of West FL

  • Internal Medicine Physician
  • Bayonet Point, FL
National Provider Identifier
1720067192
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MEDICAL ASSOCIATES OF WEST FL
Practice address
7575 State Road 52
Bayonet Point, FL 34667-6716
Phone
(727) 861-9800
Fax
(727) 868-6795
NPI assigned
Jan 12, 2006
Last updated
Apr 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Danielle Bosse
Title
Office Manager
Phone
(727) 861-9800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

7575 State Road 52
Bayonet Point, FL 34667-6716

Mailing address

7575 State Road 52
Bayonet Point, FL 34667-6716
Phone (727) 861-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100624000283 FL Part B Supplier - Clinic/Group Practice 0941307698 Receives reassigned benefits from 11 practitioners
Practice locations: Bayonet Point, FL

National Provider Directory

National Provider Directory

Locations

7509 State Road 52
Ste 210
Bayonet Point, FL 34667
Phone (727) 861-9800

5535 Grand Blvd
Ste A
New Port Richey, FL 34652
Phone (352) 269-5598

5824 State Road 54
New Port Richey, FL 34652
Phone (727) 845-1933

8603 Easthaven Ct
New Port Richey, FL 34655

5824 State Road 54
Ste 101
New Prt Rchy, FL 34652
Phone (727) 845-1933

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJIECA

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1720067192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 STATE ROAD 52",
            "city": "BAYONET POINT",
            "state": "FL",
            "postal_code": "346676716",
            "telephone_number": "727-861-9800",
            "fax_number": "727-868-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 STATE ROAD 52",
            "city": "BAYONET POINT",
            "state": "FL",
            "postal_code": "346676716",
            "telephone_number": "727-861-9800",
            "fax_number": "727-868-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ASSOCIATES OF WEST FL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-12",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "BOSSE",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "727-861-9800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonet Point, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.