NPIMap

Organization Active NPI

Joseph Spine, PA

  • Orthopaedic Surgery of the Spine Physician
  • Tampa, FL
National Provider Identifier
1194173260
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
ME101718 Issued in FL
Legal business name
JOSEPH SPINE, PA
Practice address
2727 W MLK Blvd
Ste 590
Tampa, FL 33607-6383
Phone
(813) 534-6269
Fax
(813) 870-0008
NPI assigned
May 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Authorized official

Name
Dr. Samuel A Joseph Jr., M.D.NPI 1336330778
Title
Owner/President
Phone
(727) 202-5093

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
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0117X ME101718 FL Primary

Addresses

Primary practice location

2727 W MLK Blvd
Ste 590
Tampa, FL 33607-6383

Mailing address

2727 W MLK Blvd
Suite 590
Tampa, FL 33607-6383
Phone (813) 534-6269

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20161229001210 FL Part B Supplier - Clinic/Group Practice 2860773017 Receives reassigned benefits from 11 practitioners
Practice locations: Riverview, FL; Safety Harbor, FL; St Petersburg, FL; Tampa, FL; Wesley Chapel, FL
O20170608002752 FL DME Supplier - Physician - General Practice 2860773017 Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Locations

11268 Winthrop Main St
Ste 101
Riverview, FL 33578

6450 38th Ave N
Ste 220
Saint Petersburg, FL 33710

710 94th Ave N
Ste 309
St Petersburg, FL 33702
Phone (727) 213-3330

2727 W Mlk Blvd
Ste 590
Tampa, FL 33607
Phone (813) 534-6269

Interoperability endpoints

  • Direct secure messaging: thuynguyen@jspa.allscriptsdirect.net
  • Direct secure messaging: seankelly@jspa.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1194173260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 W MLK BLVD",
            "address_2": "SUITE 590",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076383",
            "telephone_number": "813-534-6269",
            "fax_number": "813-870-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W MLK BLVD",
            "address_2": "STE 590",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076383",
            "telephone_number": "813-534-6269",
            "fax_number": "813-870-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH SPINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-31",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "727-202-5093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "FL",
            "license": "ME101718",
            "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 Jan 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.