Organization Active NPI

North Habana Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Tampa, FL
National Provider Identifier
1164733473
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
1259 Issued in FL
Legal business name
NORTH HABANA SURGICAL CENTER
Practice address
4214 N Habana Ave
Tampa, FL 33607-6314
Phone
(813) 872-2696
Fax
(813) 872-0268
NPI assigned
Jul 1, 2010
Last updated
Jul 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Authorized official

Name
Dr. Joshua A Halpern, MDNPI 1366657447
Title
Ceo, Medical Director
Phone
(813) 872-2696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 1259 FL Primary

Addresses

Primary practice location

4214 N Habana Ave
Tampa, FL 33607-6314

Mailing address

4214 N Habana Ave
Tampa, FL 33607-6314
Phone (813) 872-2696

Other identifiers 1

IdentifierTypeStateIssuer
ME54308OtherFLSTATE OF FLORIDA DEPARTMENT OF HEALTH

National Provider Directory

National Provider Directory

Locations

4214 N Habana Ave
Tampa, FL 33607
Phone (813) 872-2696

Practitioners & affiliated clinicians

Practitioners 1

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": "1277942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1164733473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4214 N HABANA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076314",
            "telephone_number": "813-872-2696",
            "fax_number": "813-872-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4214 N HABANA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076314",
            "telephone_number": "813-872-2696",
            "fax_number": "813-872-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH HABANA SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-01",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "HALPERN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO, MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "813-872-2696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "1259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "ME54308",
            "state": "FL"
        }
    ],
    "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 Jul 1, 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.