NPIMap

Organization Active NPI

Lifelink Healthcare Institute Inc

  • Transplant Surgery Physician
  • Tampa, FL
National Provider Identifier
1093732786
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Surgery PhysicianTaxonomy code 204F00000X
Legal business name
LIFELINK HEALTHCARE INSTITUTE INC
Practice address
409 Bayshore Blvd
Tampa, FL 33606-2707
Phone
(813) 251-8017
Fax
(813) 251-0096
NPI assigned
Jul 17, 2006
Last updated
Feb 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Authorized official

Name
Dennis F Heinrichs
Title
President & Coo
Phone
(813) 251-8017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X NU Primary

Addresses

Primary practice location

409 Bayshore Blvd
Tampa, FL 33606-2707

Mailing address

409 Bayshore Blvd
Tampa, FL 33606-2707
Phone (813) 251-8017

Other identifiers 1

IdentifierTypeStateIssuer
379087800MedicaidFL

Other names 1

  • LifeLink Transplant Institute Inc Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 52

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 52

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1093732786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 BAYSHORE BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062707",
            "telephone_number": "813-251-8017",
            "fax_number": "813-251-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 BAYSHORE BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062707",
            "telephone_number": "813-251-8017",
            "fax_number": "813-251-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINK HEALTHCARE INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "HEINRICHS",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT & COO",
        "authorized_official_telephone_number": "813-251-8017"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379087800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeLink Transplant Institute Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Feb 2, 2010; 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.