Organization Active NPI

Tampa Obstetrics, P.a.

  • Obstetrics & Gynecology Physician
  • Tampa, FL
National Provider Identifier
1073770095
Registry record updated Sep 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
TAMPA OBSTETRICS, P.A.
Practice address
14710 Bruce B Downs Blvd
Tampa, FL 33613-2800
Phone
(813) 654-2273
Fax
(813) 654-1384
NPI assigned
May 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2014

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

Authorized official

Name
Mrs. Linda S. Mayo
Title
Director of Operations
Phone
(813) 654-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

14710 Bruce B Downs Blvd
Tampa, FL 33613-2800

Mailing address

505 Oakfield Dr
Brandon, FL 33511-5700
Phone (813) 654-2273

Other identifiers 1

IdentifierTypeStateIssuer
051857300MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1073770095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115700",
            "telephone_number": "813-654-2273",
            "fax_number": "813-654-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14710 BRUCE B DOWNS BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336132800",
            "telephone_number": "813-654-2273",
            "fax_number": "813-654-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA OBSTETRICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "813-654-2273",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051857300",
            "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 Sep 25, 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.