Organization Active NPI

Pasco Surgical Associates PA

  • Surgery Physician
  • Zephyrhills, FL
National Provider Identifier
1225090392
Registry record updated Apr 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
PASCO SURGICAL ASSOCIATES PA
Practice address
37840 Medical Arts CT
Zephyrhills, FL 33541-4325
Phone
(813) 788-5569
Fax
(813) 782-8628
NPI assigned
Apr 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2010

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

Authorized official

Name
Dr. Lee J Grossbard, M.D.
Title
President
Phone
(813) 788-5569

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

37840 Medical Arts CT
Zephyrhills, FL 33541-4325

Mailing address

37840 Medical Arts CT
Zephyrhills, FL 33541-4325
Phone (813) 788-5569

Other identifiers 1

IdentifierTypeStateIssuer
063068300MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271116800000",
    "number": "1225090392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37840 MEDICAL ARTS CT",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335414325",
            "telephone_number": "813-788-5569",
            "fax_number": "813-782-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37840 MEDICAL ARTS CT",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335414325",
            "telephone_number": "813-788-5569",
            "fax_number": "813-782-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASCO SURGICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2010-04-13",
        "status": "A",
        "authorized_official_last_name": "GROSSBARD",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-788-5569",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063068300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

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