Tampa Bay Orthopaedic & Spine, LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

ME48335 Issued in FL

Legal business name

TAMPA BAY ORTHOPAEDIC & SPINE, LLC

Practice address

1811 N Belcher Rd
Suite H-2
Clearwater, FL 33765-1433

Phone

(727) 672-4637

Fax

(727) 724-6377

NPI assigned

Jun 8, 2009

Organization subpart

No

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

Authorized official

Name

Dr. David Wall, MD

Title

Sole MBR

Phone

(727) 501-2347

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447372800000",
    "number": "1285860007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 N BELCHER RD",
            "address_2": "SUITE H-2",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651433",
            "telephone_number": "727-672-4637",
            "fax_number": "727-724-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 N BELCHER RD",
            "address_2": "SUITE H-2",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651433",
            "telephone_number": "727-672-4637",
            "fax_number": "727-724-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BAY ORTHOPAEDIC & SPINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-08",
        "last_updated": "2015-11-13",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "727-501-2347",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "OS8857",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME48335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tampa Bay Brace and Limb Inc
• Tampa Bay Joint and Spine, LLC
• Tampa Bay Neurocognitive Institute PLLC
• Tampa Bay Ophthalmic Plastics LLC
• Tampa Bay Optometric Group PA
• Tampa Bay Psychology Associates
• Tampa Bay Uveitis Center
• Edison N Tan, M.D.
• Tania Schwegel Sales PSYD. PA
• John Tanner, LMT

• Pain Medicine Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; 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.