Specialist Doctors Group, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SPECIALIST DOCTORS GROUP, LLC

Practice address

1910 W Reynolds St
Plant City, FL 33563-4742

Phone

(813) 754-3668

NPI assigned

Aug 29, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Shawn Chaudhry

Title

Cfo

Phone

(813) 362-8330

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71788

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Joel Breuggeman, DPM

  • Podiatrist
  • Lakeland, FL
  • NPI 1831159136
  NPD (past)
• Martin Thomas Girling, DPM

  • Foot & Ankle Surgery Podiatrist
  • Plant City, FL
  • NPI 1003804675
  NPD (past)
• Michael Anthony Salvato, M.D.

  • Family Medicine Physician
  • Plant City, FL
  • NPI 1952413445
  NPD (past)

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1922432657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335470770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 W REYNOLDS ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335634742",
            "telephone_number": "813-754-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIST DOCTORS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "CHAUDHRY",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "813-362-8330",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Florida Baptist Hospital, Inc.
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• John B Souther, D.C.
• Southern Home Care Services, Inc.
• Specialist Doctors Group LLC
• Speech Rehabilitation Services
• Speech Rehabilitation Services-Dementia & Dysphagia Specialists
• Pascal Edward Spehar, M.D.
• Spirit Soul & Body Home Care LLC
• Sports and Orthopedic Rehabilitation Services Inc

• General Practice Physician in Plant City, FL
• Providers in Plant City, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.