Active NPI
David W Lyter, MD MPH, PA
- Internal Medicine Physician
- Tampa, FL
National Provider Identifier
1912410895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME79149
- Legal business name
- DAVID W LYTER, MD MPH, PA
- Practice address
- 4302 N Habana Ave Ste 200
Tampa, FL 33607-6368 - Phone
- (813) 518-0881
- Fax
- (813) 518-0882
- NPI assigned
- Nov 14, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David W Lyter, MD
- Title
- Owner
- Phone
- (813) 518-0881
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME79149 | FL | Primary |
Addresses
Primary practice location
4302 N Habana Ave Ste 200
Tampa, FL 33607-6368
Mailing address
4302 N Habana Ave Ste 200
Tampa, FL 33607-6368
Phone (813) 518-0881
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023374100 | Medicaid | FL |
Other names 1
- Diversity Health Center of Tampa Bay
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2140341 | Diversity Health Center of Tampa Bay | Certificate of waiver | Nov 19, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1659320158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1563148800000",
"number": "1912410895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4302 N HABANA AVE STE 200",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076368",
"telephone_number": "813-518-0881",
"fax_number": "813-518-0882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4302 N HABANA AVE STE 200",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076368",
"telephone_number": "813-518-0881",
"fax_number": "813-518-0882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID W LYTER, MD MPH, PA",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-14",
"last_updated": "2019-07-15",
"status": "A",
"authorized_official_last_name": "LYTER",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "813-518-0881",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME79149",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "023374100",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Diversity Health Center of Tampa Bay",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Diversity Health Center of Tampa Bay",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.