Organization Active NPI

Stephen J Szabo MD PA

  • Psychiatry Physician
  • Tampa, FL
National Provider Identifier
1033301155
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
STEPHEN J SZABO MD PA
Practice address
2630 W Waters Ave
Suite B
Tampa, FL 33614-2511
Phone
(813) 932-9265
Fax
(813) 935-4797
NPI assigned
Aug 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Authorized official

Name
Stephen J Szabo, M.D.
Title
Owner
Phone
(813) 932-9265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

2630 W Waters Ave
Suite B
Tampa, FL 33614-2511

Mailing address

2630 W Waters Ave
Suite B
Tampa, FL 33614-2511
Phone (813) 932-9265

Other identifiers 1

IdentifierTypeStateIssuer
057624700MedicaidFL

National Provider Directory

National Provider Directory

Locations

1502 W Busch Blvd
Ste H
Tampa, FL 33612
Phone (813) 215-5558

2901 W Busch Blvd
Ste 603
Tampa, FL 33618
Phone (813) 500-2449

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1033301155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 W WATERS AVE",
            "address_2": "SUITE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142511",
            "telephone_number": "813-932-9265",
            "fax_number": "813-935-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 W WATERS AVE",
            "address_2": "SUITE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142511",
            "telephone_number": "813-932-9265",
            "fax_number": "813-935-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN J SZABO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "SZABO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-932-9265",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057624700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.