MEDICARE: THOMAS J. UMSTEAD, M.D., PLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	ME0044331	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700845328
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THOMAS J. UMSTEAD, M.D., PLC

Provider Business Mailing Address
First Line	:	1812 HEALTH CARE DR
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34655-5362
Country	:	US
Telephone Number	:	727-376-2229
Fax Number	:	727-376-5456

Provider Business Practice Location Address
First Line	:	1812 HEALTH CARE DR
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34655-5362
Country	:	US
Telephone Number	:	727-376-2229
Fax Number	:	727-376-5456

Authorized Official
Title or Position	:	OWNER
Name	:	DR. THOMAS J UMSTEAD
Credential	:	MD
Telephone Number	:	727-376-2229

Provider Enumeration Date	:	03/22/2006
Last Update Date	:	08/22/2020

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