Tampa Orthotic Management Services, Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

ORT19 Issued in FL

Legal business name

TAMPA ORTHOTIC MANAGEMENT SERVICES, INC

Practice address

5537 Sheldon Rd
Suite N
Tampa, FL 33615-3167

Phone

(813) 886-9202

Fax

(813) 886-9223

NPI assigned

Feb 8, 2008

Last updated

Feb 3, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Hurley Eckerson, CO, BOC, ABC

Title

Certified Orthotist/President

Phone

(813) 886-9202

Specialties & licenses 1

Addresses

Other identifiers 7

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1093993362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5537 SHELDON RD",
            "address_2": "SUITE N",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153167",
            "telephone_number": "813-886-9202",
            "fax_number": "813-886-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5537 SHELDON RD",
            "address_2": "SUITE N",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153167",
            "telephone_number": "813-886-9202",
            "fax_number": "813-886-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA ORTHOTIC MANAGEMENT SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "ECKERSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "HURLEY",
        "authorized_official_title_or_position": "CERTIFIED ORTHOTIST/PRESIDENT",
        "authorized_official_telephone_number": "813-886-9202",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CO, BOC, ABC"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "ORT19",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREPLUS",
            "identifier": "1065307",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP DEPARTMNT OF LABOR",
            "identifier": "613214800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "TAMP3870-0",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "474446",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL",
            "identifier": "14445",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032624100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "M2843",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Tampa, FL
• Providers in Tampa, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.