Individual provider Active NPI

Nathaniel James Walsh, MD

  • Surgery Physician
  • Tampa, FL
National Provider Identifier
1255695185
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME135773 Issued in FL
Practice address
5959 Webb Rd
Tampa, FL 33615-3219
Phone
(813) 940-3130
Fax
(888) 481-1487
NPI assigned
Jun 26, 2012
Last updated
Dec 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME135773 FL Primary

Addresses

Primary practice location

5959 Webb Rd
Tampa, FL 33615-3219

Mailing address

5959 Webb Rd
Tampa, FL 33615-3219
Phone (813) 940-3130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181001000683 FL Practitioner - General Surgery 6406094184 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of South Florida College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norman Clayman Endocrine Institute, LLCGroup PAC ID 4486074655, 11 clinicians

Practice addresses (Care Compare)

5959 Webb Rd
Tampa, FL 33615-3219
Phone (813) 940-3130

6001 Webb Rd
(HCA Florida West Tampa)
Tampa, FL 33615-3241
Phone (813) 888-7060

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME135773FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Post Acute Care Clinicians, LLC CurrentSince Apr 29, 2019 Accepting new patients
Norman Clayman Endocrine Institute, LLC Surgery CurrentSince Sep 9, 2020 Accepting new patients
North Orlando Surgical Group, Inc Surgery CurrentSince Aug 6, 2018 Accepting new patients
Florida Post Acute Care Clinicians, LLC CurrentSince Apr 29, 2019 Accepting new patients
Norman Parathyroid Center, PA Surgery PastSince Dec 12, 2021 Accepting new patients

Locations

304 S Citrus Ave
Inverness, FL 34452
Phone (352) 344-4791

5888 Blanding Blvd
Jacksonville, FL 32244
Phone (352) 514-8830

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

1780 N Jefferson Hwy
Monticello, FL 32344
Phone (800) 708-4008

2864 Wellness Ave
Ste 200
Orange City, FL 32763
Phone (386) 775-0333

5959 Webb Rd
Tampa, FL 33615
Phone (813) 940-3130

2352 Creel Ln
Wesley Chapel, FL 33544
Phone 8136159400202

2352 Creel Ln
Ste 101
Wesley Chapel, FL 33544
Phone (813) 940-3130

2400 Cypress Glen Dr
Wesley Chapel, FL 33544
Phone (813) 940-3130

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1255695185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 WEBB RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153219",
            "telephone_number": "813-940-3130",
            "fax_number": "888-481-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 WEBB RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153219",
            "telephone_number": "813-940-3130",
            "fax_number": "888-481-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "NATHANIEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-26",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME135773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.