Organization Active NPI

Tampa Health Care Providers, P.a.

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1215014477
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TAMPA HEALTH CARE PROVIDERS, P.A.
Practice address
8495 W Linebaugh Ave
Tampa, FL 33625-3729
Phone
(813) 920-2400
Fax
(813) 792-0001
NPI assigned
Nov 1, 2006
Last updated
Sep 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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

Authorized official

Name
Dr. Tae J. Noh, M.D.NPI 1750468914
Title
President
Phone
(813) 920-2400

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
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

8495 W Linebaugh Ave
Tampa, FL 33625-3729

Mailing address

8495 W Linebaugh Ave
Tampa, FL 33625-3729
Phone (813) 920-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100318000241 FL Part B Supplier - Clinic/Group Practice 2466587233 Receives reassigned benefits from 1 practitioner
Practice locations: Tampa, FL; Brandon, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2039009Tampa Health Care Providers PA8495 W Linebaugh Ave, Tampa, FL 33625Certificate of waiverMar 28, 2028

National Provider Directory

National Provider Directory

Locations

8495 W Linebaugh Ave
Tampa, FL 33625
Phone (813) 220-8573

Practitioners & affiliated clinicians

Practitioners 2

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1215014477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8495 W LINEBAUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336253729",
            "telephone_number": "813-920-2400",
            "fax_number": "813-792-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8495 W LINEBAUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336253729",
            "telephone_number": "813-920-2400",
            "fax_number": "813-792-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA HEALTH CARE PROVIDERS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "NOH",
        "authorized_official_first_name": "TAE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-920-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "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 Sep 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.