Orthostem Institute, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ORTHOSTEM INSTITUTE, PA

Practice address

2202 N West Shore Blvd Ste 140
Tampa, FL 33607-5759

Phone

(813) 575-5276

Fax

(813) 315-7061

NPI assigned

Apr 26, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Robert M Dean, MD

Title

Physician/Owner

Phone

(813) 575-5276

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1255786372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 N WEST SHORE BLVD STE 140",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075759",
            "telephone_number": "813-575-5276",
            "fax_number": "813-315-7061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 N WEST SHORE BLVD STE 140",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075759",
            "telephone_number": "813-575-5276",
            "fax_number": "813-315-7061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOSTEM INSTITUTE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "813-575-5276",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1619053766",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.