Provider Demographics
| NPI: | 1508996083 |
|---|---|
| Name: | HEALTHPOINT MEDICAL GROUP INC |
| Entity Type: | Organization |
| Organization Name: | HEALTHPOINT MEDICAL GROUP INC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CAO |
| Authorized Official - Prefix: | MR |
| Authorized Official - First Name: | KEVIN |
| Authorized Official - Middle Name: | L |
| Authorized Official - Last Name: | CORRIGAN |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 727-532-1355 |
| Mailing Address - Street 1: | PO BOX 10744 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | CLEARWATER |
| Mailing Address - State: | FL |
| Mailing Address - Zip Code: | 33757-8744 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 727-532-0002 |
| Mailing Address - Fax: | 727-266-4928 |
| Practice Address - Street 1: | 300 PARK PLACE BLVD |
| Practice Address - Street 2: | SUITE 170 |
| Practice Address - City: | CLEARWATER |
| Practice Address - State: | FL |
| Practice Address - Zip Code: | 33759-4932 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 727-532-1355 |
| Practice Address - Fax: | 727-266-4928 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2007-03-06 |
| Last Update Date: | 2015-01-06 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | Group - Multi-Specialty | |
| No | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | Group - Multi-Specialty | |
| No | 207QS0010X | Allopathic & Osteopathic Physicians | Family Medicine | Sports Medicine | Group - Multi-Specialty |
| No | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Multi-Specialty | |
| No | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology | Group - Multi-Specialty |
| No | 207T00000X | Allopathic & Osteopathic Physicians | Neurological Surgery | Group - Multi-Specialty | |
| No | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Group - Multi-Specialty | |
| No | 207VX0201X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Gynecologic Oncology | Group - Multi-Specialty |
| No | 207XP3100X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Pediatric Orthopaedic Surgery | Group - Multi-Specialty |
| No | 2080P0207X | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Hematology-Oncology | Group - Multi-Specialty |
| No | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | Group - Multi-Specialty |
| No | 208600000X | Allopathic & Osteopathic Physicians | Surgery | Group - Multi-Specialty | |
| No | 2086S0120X | Allopathic & Osteopathic Physicians | Surgery | Pediatric Surgery | Group - Multi-Specialty |
| No | 2086S0129X | Allopathic & Osteopathic Physicians | Surgery | Vascular Surgery | Group - Multi-Specialty |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| FL | 377103201 | Medicaid | |
| FL | 377103214 | Medicaid | |
| FL | 377103235 | Medicaid | |
| FL | 377103236 | Medicaid | |
| FL | 377103242 | Medicaid | |
| FL | 377103218 | Medicaid | |
| FL | 377103238 | Medicaid | |
| FL | 377103244 | Medicaid | |
| FL | 377103208 | Medicaid | |
| FL | 377103227 | Medicaid | |
| FL | 377103239 | Medicaid | |
| FL | 377103219 | Medicaid | |
| FL | 377103220 | Medicaid | |
| FL | 377103228 | Medicaid | |
| FL | 377103241 | Medicaid | |
| FL | 377103243 | Medicaid | |
| FL | 377103203 | Medicaid | |
| FL | 377103226 | Medicaid | |
| FL | 377103200 | Medicaid | |
| FL | 377103202 | Medicaid | |
| FL | 377103229 | Medicaid | |
| FL | 377103232 | Medicaid | |
| FL | 377103237 | Medicaid | |
| FL | 377103216 | Medicaid | |
| FL | 377103222 | Medicaid | |
| FL | 377103231 | Medicaid | |
| FL | 377103234 | Medicaid | |
| FL | 377103240 | Medicaid | |
| FL | 377103225 | Medicaid | |
| FL | 377103233 | Medicaid | |
| FL | 377103237 | Medicaid |
