St Joseph's Community Care Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ST JOSEPH'S COMMUNITY CARE INC

Practice address

3550 W Waters Ave Ste 110
Tampa, FL 33614-2767

Phone

(813) 886-8899

NPI assigned

Mar 6, 2007

Last updated

Feb 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lynda Gorken

Title

VP

Phone

(727) 281-9202

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

St Josephs Community Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• St Joseph's Community Care Inc

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1174192108
  NPD tax ID
• St. Joseph's Community Care

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1427007442
  NPD tax ID
• St. Joseph's Community Care

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1770532814
  NPD tax ID

Locations

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shahla Goodarzi Amrooei, ARNP

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1922089838
  Medicare reassignment NPD
• Colleen Elizabeth Bartlett, ARNP

  • Pediatric Nurse Practitioner
  • Tampa, FL
  • NPI 1265750996
  Medicare reassignment NPD
• Eisy Earl

  • Family Nurse Practitioner
  • Wesley Chapel, FL
  • NPI 1356790455
  Medicare reassignment NPD
• Mary Issac Thomas, M.D.

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1891799128
  Medicare reassignment NPD
• Jessica Danielle Einwag Arnold, APRN

  • Family Nurse Practitioner
  • San Francisco, CA
  • NPI 1194367136

  FL

  Medicare reassignment NPD
• Eileen Brown Alexander, A.R.N.P.

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1891798526
  NPD (past)
• Joanne Belliotti Coe, ARNP

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1447223490
  NPD (past)
• Nancy Jaime-Williams, M.D.

  • Family Medicine Physician
  • Lutz, FL
  • NPI 1871565960
  NPD (past)
• Jerambhai T Kankotia, MD

  • Internal Medicine Physician
  • Lutz, FL
  • NPI 1437231065
  NPD (past)
• Pamela Mae Martinez, MD

  • Family Medicine Physician
  • Lutz, FL
  • NPI 1871595132
  NPD (past)
• Linh Bao Nguyen, M.D.

  • Family Medicine Physician
  • Pinellas Park, FL
  • NPI 1194761510
  NPD (past)
• Jonathan Joseph Sims, D.O.

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1083619613
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1003946591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 W WATERS AVE STE 110",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142767",
            "telephone_number": "813-886-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 W WATERS AVE STE 110",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142767",
            "telephone_number": "813-886-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPH'S COMMUNITY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "GORKEN",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "727-281-9202"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emlyne St Helen, NP
• St Isabel Medical Center Inc
• Margaret St John, RN
• St Joseph Hospital
• St Joseph Pharmacy LLC (St Joseph Pharmacy)
• St Joseph's Community Care Inc
• St Joseph's Diagnostic Center LLC (BayCare Outpatient Imaging)
• St Joseph's Diagnostic Center LLC (BayCare Outpatient Imaging)
• St Joseph's Diagnostic Center, LTD (Westchase)
• St Joseph's Diagnostic Center,LTD (Carrollwood)

• Family Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.