Organization Active NPI

Punta Gorda Hma Physician Management LLC

  • Internal Medicine Physician
  • Punta Gorda, FL
National Provider Identifier
1841369329
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PUNTA GORDA HMA PHYSICIAN MANAGEMENT LLC
Practice address
713 E Marion Ave
Suite 133
Punta Gorda, FL 33950-3872
Phone
(941) 480-2800
Fax
(941) 480-2820
NPI assigned
Nov 7, 2006
Last updated
Nov 9, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALTH MANAGEMENT ASSOCIATES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Authorized official

Name
Ms. Kristina Music
Title
Dir, Provider Enrollment
Phone
(877) 892-9815

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X FL
Internal Medicine Physician 207R00000X FL Primary
Gastroenterology Physician 207RG0100X FL
Neurological Surgery Physician 207T00000X FL
Orthopaedic Surgery Physician 207X00000X NU
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X FL
Hospitalist Physician 208M00000X NU

Addresses

Primary practice location

713 E Marion Ave
Suite 133
Punta Gorda, FL 33950-3872

Mailing address

5811 Pelican Bay Blvd
Suite 500
Naples, FL 34108-2704
Phone (239) 598-3131

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070627000413 FL Part B Supplier - Clinic/Group Practice 2264531532 Receives reassigned benefits from 4 practitioners
Practice locations: Port Charlotte, FL; Punta Gorda, FL

National Provider Directory

National Provider Directory

Locations

15121 Tamiami Trl
Ste 1
North Port, FL 34287
Phone (941) 833-1580

1951 Tamiami Trl
Unit B
Pt Charlotte, FL 33948
Phone (941) 613-3800

223 Dr Martin Luther King Jr Blvd
Punta Gorda, FL 33950
Phone (941) 639-6616

713 E Marion Ave
Ste 125
Punta Gorda, FL 33950
Phone (941) 205-2242

713 E Marion Ave
Ste 131
Punta Gorda, FL 33950
Phone (941) 575-1514

713 E Marion Ave
Ste 133
Punta Gorda, FL 33950
Phone (941) 639-6616

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1841369329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5811 PELICAN BAY BLVD",
            "address_2": "SUITE 500",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082704",
            "telephone_number": "239-598-3131",
            "fax_number": "239-598-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 E MARION AVE",
            "address_2": "SUITE 133",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503872",
            "telephone_number": "941-480-2800",
            "fax_number": "941-480-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUNTA GORDA HMA PHYSICIAN MANAGEMENT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH MANAGEMENT ASSOCIATES, INC",
        "enumeration_date": "2006-11-07",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "MUSIC",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "DIR, PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "877-892-9815",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.