Active NPI
Michael Notbohm
- Computed Tomography Radiologic Technologist
- Tampa, FL
National Provider Identifier
1063882595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Computed Tomography Radiologic Technologist
- Practice address
- 6012 Yeats Manor Dr
Unit 102
Tampa, FL 33616-1444 - Phone
- (813) 540-6733
- NPI assigned
- Sep 27, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Computed Tomography Radiologic Technologist | 2471C3401X | Primary |
Addresses
Primary practice location
6012 Yeats Manor Dr
Unit 102
Tampa, FL 33616-1444
Mailing address
PO Box 173103
Tampa, FL 33672-1103
Phone (813) 540-6733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443312000000",
"number": "1063882595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 173103",
"city": "TAMPA",
"state": "FL",
"postal_code": "336721103",
"telephone_number": "813-540-6733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6012 YEATS MANOR DR",
"address_2": "UNIT 102",
"city": "TAMPA",
"state": "FL",
"postal_code": "336161444",
"telephone_number": "813-540-6733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOTBOHM",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-27",
"last_updated": "2015-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "2471C3401X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Computed Tomography",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Sep 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.