NPIMap

Organization Active NPI

Palm Harbor Westchase Medical Group PA

  • Internal Medicine Physician
  • Palm Harbor, FL
National Provider Identifier
1740498310
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME72618 Issued in FL
Legal business name
PALM HARBOR WESTCHASE MEDICAL GROUP PA
Practice address
3830 Tampa Rd
Suite 500
Palm Harbor, FL 34684-5619
Phone
(727) 787-4383
Fax
(727) 787-4504
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert M Dean, MD
Title
Owner
Phone
(727) 787-4383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME72618 FL Primary

Addresses

Primary practice location

3830 Tampa Rd
Suite 500
Palm Harbor, FL 34684-5619

Mailing address

3830 Tampa Rd
Suite 500
Palm Harbor, FL 34684-5619
Phone (727) 787-4383

National Provider Directory

National Provider Directory

Locations

10714 Countryway Blvd
Tampa, FL 33626
Phone (813) 818-8999

Practitioners & affiliated clinicians

Practitioners 4

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": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740498310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 TAMPA RD",
            "address_2": "SUITE 500",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346845619",
            "telephone_number": "727-787-4383",
            "fax_number": "727-787-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 TAMPA RD",
            "address_2": "SUITE 500",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346845619",
            "telephone_number": "727-787-4383",
            "fax_number": "727-787-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM HARBOR WESTCHASE MEDICAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-787-4383",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME72618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.