Organization Active NPI

Wayne J. Garcia Mdpa

  • Hospitalist Physician
  • South Pasadena, FL
National Provider Identifier
1841491701
Registry record updated Feb 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME0046918 Issued in FL
Legal business name
WAYNE J. GARCIA MDPA
Practice address
1501 Pasadena Ave S
South Pasadena, FL 33707-3717
Phone
(727) 431-9548
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2017

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

Authorized official

Name
Dr. Wayne J. Garcia, M.D.
Title
President
Phone
(727) 431-9548

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208M00000X ME0046918 FL Primary

Addresses

Primary practice location

1501 Pasadena Ave S
South Pasadena, FL 33707-3717

Mailing address

PO Box 67310
St Pete Beach, FL 33736-7310
Phone (727) 431-9548

Other identifiers 2

IdentifierTypeStateIssuer
048973500MedicaidFL
04573OtherFLBCBS

National Provider Directory

National Provider Directory

Locations

1615 Pasadena Ave S
Ste 100
South Pasadena, FL 33707
Phone (727) 345-8303

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": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1841491701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67310",
            "city": "ST PETE BEACH",
            "state": "FL",
            "postal_code": "337367310",
            "telephone_number": "727-431-9548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 PASADENA AVE S",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337073717",
            "telephone_number": "727-431-9548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE J. GARCIA MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-431-9548",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME0046918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048973500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "04573",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.