ST.JOHN'S MEDICAL CLINIC,PA
NPI 1508166786
General Practice in Tampa, FL

Active since October 22, 2010
12001 N NEBRASKA AVE, TAMPA, FL 33612(813) 972-1282(813) 978-1677 Get Directions Write a Review

NPPES record last updated: October 22, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St.john's Medical Clinic,pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST.JOHN'S MEDICAL CLINIC,PA (NPI 1508166786) is a healthcare organization registered as a general practice in Tampa, Florida and active in the NPI registry since October 2010. The organization lists Chi-shang Chen, Owner, as its authorized official.

NPPES Registry Identity

NPI1508166786
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameST.JOHN'S MEDICAL CLINIC,PA
Location Address12001 N NEBRASKA AVETampa, FL 33612-5343
Mailing Address12001 N Nebraska AveTampa, FL 33612-5343 · (813) 972-1282 · Fax (813) 978-1677
Fax(813) 978-1677
Organization SubpartNo
Authorized OfficialChi-shang ChenOwner · (813) 972-1282
Enumeration DateOctober 22, 2010
NPI 1508166786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in FL · ME41425
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
12001 N NEBRASKA AVE, Tampa, FL 33612

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St.John's Medical Clinic,pa's NPI number?

The NPI number for St.John's Medical Clinic,pa is 1508166786. It was assigned to this organization in the NPPES registry on October 22, 2010.

Where is St.John's Medical Clinic,pa located?

St.John's Medical Clinic,pa is located at 12001 N Nebraska Ave, Tampa, FL 33612. The listed phone number is (813) 972-1282.

What is St.John's Medical Clinic,pa's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for St.John's Medical Clinic,pa was last updated on October 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.