Organization Active NPI

Professional Podiatry of Tampa LLC

  • Podiatric Clinic/Center
  • Wesley Chapel, FL
National Provider Identifier
1124882766
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
PROFESSIONAL PODIATRY OF TAMPA LLC
Practice address
1800 Montgomery Bell Rd
Wesley Chapel, FL 33543-7188
Phone
(703) 470-2779
NPI assigned
Feb 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Authorized official

Name
Dr. Bahaa Amer, DPM
Title
President
Phone
(703) 470-2779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X Primary

Addresses

Primary practice location

1800 Montgomery Bell Rd
Wesley Chapel, FL 33543-7188

Mailing address

1800 Montgomery Bell Rd
Wesley Chapel, FL 33543-7188
Phone (703) 470-2779

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1124882766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 MONTGOMERY BELL RD",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335437188",
            "telephone_number": "703-470-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MONTGOMERY BELL RD",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335437188",
            "telephone_number": "703-470-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PODIATRY OF TAMPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "AMER",
        "authorized_official_first_name": "BAHAA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-470-2779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.