McIlwain Medical Group, PA

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

ME26737 Issued in FL

Legal business name

MCILWAIN MEDICAL GROUP, PA

Practice address

13801 Bruce B Downs Blvd
Suite 406
Tampa, FL 33613-3946

Phone

(813) 971-5550

Fax

(813) 903-1070

NPI assigned

May 28, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Harris McIlwain, M.D.

Title

President

Phone

(813) 971-5550

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1338163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1750641494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13801 BRUCE B DOWNS BLVD",
            "address_2": "SUITE 406",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133946",
            "telephone_number": "813-971-5550",
            "fax_number": "813-903-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13801 BRUCE B DOWNS BLVD",
            "address_2": "SUITE 406",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133946",
            "telephone_number": "813-971-5550",
            "fax_number": "813-903-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCILWAIN MEDICAL GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-28",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "MCILWAIN",
        "authorized_official_first_name": "HARRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-971-5550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME26737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Bradford McHenry, D.C.,
• Jann McHollan, LMHC
• Emily Anne McHugh, N/A
• Jennifer Susan McIlvaine, DPT
• McIlwain Dental Specialists
• McIlwain Medical Group, PA
• James E McIlwain Jr., DDS
• Leigh Ann McIlwain, DMD
• Megan McInerney, LMHC
• Deborah Annice McInnis, OTRL

• Rheumatology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Rheumatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.