Active NPI
Carrollwood Surgical Associates
- Surgery Physician
- Tampa, FL
National Provider Identifier
1205946167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- CARROLLWOOD SURGICAL ASSOCIATES
- Practice address
- 7171 N Dale Mabry Hwy
Ste 402
Tampa, FL 33614-2630 - Phone
- (813) 933-3324
- Fax
- (813) 932-4357
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sharad Patel, MD
- Title
- Provider/Owner
- Phone
- (813) 933-3324
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
7171 N Dale Mabry Hwy
Ste 402
Tampa, FL 33614-2630
Mailing address
PO Box 21727
Tampa, FL 33622-1727
Phone (813) 933-3324
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 98045 | Other | FL | BCBS |
| 056480000 | Medicaid | FL | |
| 161385100 | Other | US DOL | |
| CG0438 | Other | RRW MCR |
National Provider Directory
National Provider DirectoryLocations
7171 N Dale Mabry Hwy
Ste 402
Tampa, FL 33614
Phone (813) 933-3324
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Tampa, FL
- NPI 1932196805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283472000000",
"number": "1205946167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21727",
"city": "TAMPA",
"state": "FL",
"postal_code": "336221727",
"telephone_number": "813-933-3324",
"fax_number": "813-932-4357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7171 N DALE MABRY HWY",
"address_2": "STE 402",
"city": "TAMPA",
"state": "FL",
"postal_code": "336142630",
"telephone_number": "813-933-3324",
"fax_number": "813-932-4357"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARROLLWOOD SURGICAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2010-09-03",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "SHARAD",
"authorized_official_title_or_position": "PROVIDER/OWNER",
"authorized_official_telephone_number": "813-933-3324",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "98045",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "056480000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DOL",
"identifier": "161385100",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRW MCR",
"identifier": "CG0438",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
- Carrollwood Massage Therapy
- Carrollwood Medical Group, LLC.
- Carrollwood Operations, LLC
- Carrollwood Rehabilitation Center LLC
- Carrollwood Speech and Swallowing Therapy, PLLC
- Carrollwood Village Counseling Associates
- Carrollwood Vision Corporation
- Catherine E Carruthers, M.D.
- Kadir Justin Carruthers, M.D.
- Alexandra Stewart Carson, RMHC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.