Organization Active NPI

Rademaker Plastic Surgery LLC

  • Plastic and Reconstructive Surgery Physician
  • Tampa, FL
National Provider Identifier
1114117587
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
RADEMAKER PLASTIC SURGERY LLC
Practice address
11932 Sheldon Road
Tampa, FL 33626-3643
Phone
(813) 884-0160
Fax
(813) 885-9383
NPI assigned
Jul 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Authorized official

Name
Bart Rademaker, M.D.
Title
Owner
Phone
(813) 884-0160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

11932 Sheldon Road
Tampa, FL 33626-3643

Mailing address

11932 Sheldon Road
Tampa, FL 33626-3643
Phone (813) 884-0160

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1114117587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11932 SHELDON ROAD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336263643",
            "telephone_number": "813-884-0160",
            "fax_number": "813-885-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11932 SHELDON ROAD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336263643",
            "telephone_number": "813-884-0160",
            "fax_number": "813-885-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADEMAKER PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "RADEMAKER",
        "authorized_official_first_name": "BART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-884-0160",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 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.