Organization Active NPI

Medical Arts Professional Health Services Inc

  • Obstetrics & Gynecology Physician
  • Spring Hill, FL
National Provider Identifier
1730198599
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME55252 Issued in FL
Legal business name
MEDICAL ARTS PROFESSIONAL HEALTH SERVICES INC
Practice address
13215 Spring Hill Dr
Spring Hill, FL 34609-5054
Phone
(352) 683-0232
Fax
(352) 683-0247
NPI assigned
Aug 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Authorized official

Name
Thair R Dieffenbach, L.M.H.C.NPI 1710111349
Title
PH.D.
Phone
(352) 683-0232

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X MH0002734 FL
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X ME55252 FL Primary

Addresses

Primary practice location

13215 Spring Hill Dr
Spring Hill, FL 34609-5054

Mailing address

13215 Spring Hill Dr
Spring Hill, FL 34609-5054
Phone (352) 683-0232

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130416000481 FL Part B Supplier - Clinic/Group Practice 1759527872 Receives reassigned benefits from 1 practitioner
Practice locations: Springhill, FL

National Provider Directory

National Provider Directory

Locations

13215 Spring Hill Dr
Spring Hill, FL 34609
Phone (352) 683-0232

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1730198599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13215 SPRING HILL DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346095054",
            "telephone_number": "352-683-0232",
            "fax_number": "352-683-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13215 SPRING HILL DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346095054",
            "telephone_number": "352-683-0232",
            "fax_number": "352-683-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ARTS PROFESSIONAL HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "DIEFFENBACH",
        "authorized_official_first_name": "THAIR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PH.D.",
        "authorized_official_telephone_number": "352-683-0232",
        "authorized_official_credential": "L.M.H.C."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH0002734",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME55252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.