Individual provider Active NPI

Patrick William Ed McCabe, CRNA

  • Certified Registered Nurse Anesthetist
  • Tampa, FL
National Provider Identifier
1063408201
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP 2129302 Issued in FL
Practice address
2 Columbia Dr
Suite A327
Tampa, FL 33606-3508
Phone
(813) 844-4434
Fax
(813) 844-4467
NPI assigned
Sep 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP 2129302 FL Primary

Addresses

Primary practice location

2 Columbia Dr
Suite A327
Tampa, FL 33606-3508

Mailing address

12400 101St St
Largo, FL 33773-1934
Phone (727) 581-5948

Other identifiers 1

IdentifierTypeStateIssuer
G3160OtherFLFL BCBS PROVIDER #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031105000399 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244142446 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
ARNP 2129302FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Sep 14, 2013 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince Sep 14, 2013 Accepting new patients
Sheridan Healthcorp, Inc. Past Accepting new patients
Anesthesia Consultants of St Petersburg PA Past Accepting new patients
Florida Gulf-to-Bay Anesthesiology Associates, LLC Past Accepting new patients
Bayou Anesthesia and Pain Management Associates PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Michigan Gulf to Bay Anesthesiology Associates PSC Past Accepting new patients
Gulfcoast Anesthesia Partners LLP Past Accepting new patients

Locations

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

6500 66th St N
Pinellas Park, FL 33781
Phone (727) 347-1286

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

6500 38th Ave N
St Petersburg, FL 33710
Phone (727) 341-4870

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

2 Columbia Dr
Ste A327
Tampa, FL 33606

2 Columbia Dr
Tampa, FL 33606
Phone (813) 844-7100

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

Networks

  • Optimum HealthCare HMO Network

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063408201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 101ST ST",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337731934",
            "telephone_number": "727-581-5948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COLUMBIA DR",
            "address_2": "SUITE A327",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063508",
            "telephone_number": "813-844-4434",
            "fax_number": "813-844-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCABE",
        "first_name": "PATRICK",
        "middle_name": "WILLIAM ED",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP 2129302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BCBS PROVIDER #",
            "identifier": "G3160",
            "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 Jul 8, 2007; 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.