Active NPI
Tampa Obstetrics, P.a.
- Obstetrics & Gynecology Physician
- Tampa, FL
National Provider Identifier
1073770095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051857300 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI 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.