T S Hossain MD PA

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

Legal business name

T S HOSSAIN MD PA

Practice address

301 Health Park Blvd
Suite #215
St Augustine, FL 32086

Phone

(904) 823-3394

Fax

(904) 823-8557

NPI assigned

May 13, 2008

Organization subpart

No

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

Authorized official

Name

Tawhid Simon Hossain, MDNPI 1164508354

Title

President

Phone

(904) 823-3394

Specialties & licenses 1

Addresses

Other names 1

• Florida Eye and Laser Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

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

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• Tawhid Simon Hossain, MD

  • Ophthalmology Physician
  • St Augustine, FL
  • NPI 1164508354
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1235306820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HEALTH PARK BLVD",
            "address_2": "SUITE #215",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "32086",
            "telephone_number": "904-823-3394",
            "fax_number": "904-823-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HEALTH PARK BLVD",
            "address_2": "SUITE #215",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "32086",
            "telephone_number": "904-823-3394",
            "fax_number": "904-823-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T S HOSSAIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "HOSSAIN",
        "authorized_official_first_name": "TAWHID",
        "authorized_official_middle_name": "SIMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-823-3394",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Eye and Laser Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ann Sweeney, RA
• Amy Renee Swiatkowski, CRNP
• Thomas Swisshelm, MED, EDS, BCN
• Synergy Services, LLC
• Amanda Szabados, RN
• Nzinga Tafari, MD
• Darren C Tagliarini, BCBA
• Arthur Cortland Taliaferro, MD
• Robert Taliaferro Jr., PA-C
• Robert B Taliaferro, M.D.

• Ophthalmologic Surgery Clinic/Center in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Ophthalmologic Surgery Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.