Active NPI
Root Cause Medical Clinic Inc
- General Practice Physician
- Tampa, FL
National Provider Identifier
1962854802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- ROOT CAUSE MEDICAL CLINIC INC
- Practice address
- 15049 Bruce B Downs Blvd
Tampa, FL 33647-1388 - Phone
- (937) 216-9048
- Fax
- (844) 828-3997
- NPI assigned
- Jul 4, 2016
- 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
- Jordan Matthew Axe
- Title
- Owner/President
- Phone
- (937) 216-9048
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 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Anesthesiology Physician | 207L00000X | |||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | |||
| General Practice Physician | 208D00000X | Primary | ||
| Physical Therapist | 225100000X | |||
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X | |||
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Gerontology Nurse Practitioner | 363LG0600X |
Addresses
Primary practice location
15049 Bruce B Downs Blvd
Tampa, FL 33647-1388
Mailing address
15049 Bruce B Downs Blvd
Tampa, FL 33647-1388
Phone (937) 216-9048
Other names 2
- Axe Holistic Medicine
- Root Cause Medical Clinic Inc
National Provider Directory
National Provider DirectoryLocations
1705 E Highway 50
Clermont, FL 34711
Phone (813) 563-7668
2304 Crestover Ln
Ste 102A
Wesley Chapel, FL 33544
Phone (813) 563-7668
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Lakeland, FL
- NPI 1194116368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754438400000",
"number": "1962854802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15049 BRUCE B DOWNS BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336471388",
"telephone_number": "937-216-9048",
"fax_number": "844-828-3997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15049 BRUCE B DOWNS BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336471388",
"telephone_number": "937-216-9048",
"fax_number": "844-828-3997"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROOT CAUSE MEDICAL CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-04",
"last_updated": "2025-08-06",
"certification_date": "2025-08-06",
"status": "A",
"authorized_official_last_name": "AXE",
"authorized_official_first_name": "JORDAN",
"authorized_official_middle_name": "MATTHEW",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "937-216-9048"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Axe Holistic Medicine",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Root Cause Medical Clinic Inc",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.