Organization Active NPI

Thomas O Pearson Penn-Tampa Neurology

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Palm Harbor, FL
National Provider Identifier
1043471428
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
Legal business name
THOMAS O PEARSON PENN-TAMPA NEUROLOGY
Practice address
35111 US Highway 19 N
Palm Harbor, FL 34684-1935
Phone
(727) 771-1818
NPI assigned
Jun 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Authorized official

Name
Dr. Thomas O Pearson, MDNPI 1144204124
Title
Owner
Phone
(717) 994-7470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084S0012X FL Primary

Addresses

Primary practice location

35111 US Highway 19 N
Palm Harbor, FL 34684-1935

Mailing address

35111 US Highway 19 N
Ste 207
Palm Harbor, FL 34684-1935
Phone (727) 599-4705

Other identifiers 1

IdentifierTypeStateIssuer
03256700OtherPACAPITAL BC/BS

Other names 1

  • Penn-Tampa Neurology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170109002232 FL Part B Supplier - Clinic/Group Practice 6800177700 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Harbor, FL

National Provider Directory

National Provider Directory

Locations

35111 US Highway 19 N
Ste 207
Palm Harbor, FL 34684
Phone (727) 599-4705

Practitioners & affiliated clinicians

Practitioners 1

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": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1043471428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35111 US HIGHWAY 19 N",
            "address_2": "STE 207",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841935",
            "telephone_number": "727-599-4705",
            "fax_number": "727-279-4784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35111 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841935",
            "telephone_number": "727-771-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS O PEARSON PENN-TAMPA NEUROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-994-7470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BC/BS",
            "identifier": "03256700",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penn-Tampa Neurology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.