NPIMap

Organization Active NPI

Palanisamy Rathinasamy MD PA

Doing business as Surgical Associates of Tampa Bay

  • Specialist
  • Brandon, FL
National Provider Identifier
1093851594
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PALANISAMY RATHINASAMY MD PA
Doing business as
Surgical Associates of Tampa Bay
Practice address
205 S.Moon Ave, Suite 102
Brandon, FL 33511-5716
Phone
(813) 681-4644
Fax
(813) 654-4486
NPI assigned
Jan 30, 2007
Last updated
Jul 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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

Authorized official

Name
Mrs. Kalyanamathy Rathinasamy
Title
Office Manager
Phone
(813) 681-4644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

205 S.Moon Ave, Suite 102
Brandon, FL 33511-5716

Mailing address

205 S.Moon Ave, Suite 102
Brandon, FL 33511-5716
Phone (813) 681-4644

Other identifiers 3

IdentifierTypeStateIssuer
265818600MedicaidFL
5410665OtherAETNA
CD0347OtherR.R.MEDICARE

Other names 1

  • Surgical Associates of Tampa Bay Doing business as

National Provider Directory

National Provider Directory

Locations

205 S Moon Ave
Ste 102
Brandon, FL 33511
Phone (813) 654-9557

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343174400000",
    "number": "1093851594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S.MOON AVE, SUITE 102",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115716",
            "telephone_number": "813-681-4644",
            "fax_number": "813-654-4486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S.MOON AVE, SUITE 102",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115716",
            "telephone_number": "813-681-4644",
            "fax_number": "813-654-4486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALANISAMY RATHINASAMY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2012-07-25",
        "status": "A",
        "authorized_official_last_name": "RATHINASAMY",
        "authorized_official_first_name": "KALYANAMATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "813-681-4644",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265818600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5410665",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R.R.MEDICARE",
            "identifier": "CD0347",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgical Associates of Tampa Bay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; 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.