NPIMap

Organization Active NPI

Chris Pittman MD PA

  • Vascular & Interventional Radiology Physician
  • Tampa, FL
National Provider Identifier
1295039691
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
ME0064760 Issued in FL
Legal business name
CHRIS PITTMAN MD PA
Practice address
2815 W Virginia Ave
Suite a
Tampa, FL 33607-6357
Phone
(855) 834-6911
Fax
(813) 443-5600
NPI assigned
Dec 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Authorized official

Name
Dr. C. Chris Pittman, M.D.
Title
Owner
Phone
(855) 834-6911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0204X ME0064760 FL Primary

Addresses

Primary practice location

2815 W Virginia Ave
Suite a
Tampa, FL 33607-6357

Mailing address

1099 Shipwatch Cir
Tampa, FL 33602-5736
Phone (855) 834-6911

Other identifiers 4

IdentifierTypeStateIssuer
4687430OtherFLAETNA
DW0684OtherFLMEDICARE RAILROAD
0088JOtherFLFL BLUE
01472670MedicaidFL

Other names 1

  • Vein911 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110314000991 FL Part B Supplier - Clinic/Group Practice 9234311127 Receives reassigned benefits from 8 practitioners
Practice locations: Largo, FL; Palm Harbor, FL; Tampa, FL; Wesley Chapel, FL

National Provider Directory

National Provider Directory

Locations

1301 2nd Ave SW
#301
Largo, FL 33770

1301 2nd Ave SW
Ste 301
Largo, FL 33770
Phone (727) 544-1441

3830 Tampa Rd
Palm Harbor, FL 34684

2815 W Virginia Ave
Ste A
Tampa, FL 33607
Phone (813) 761-2017

2020 Ashley Oaks Cir
Wesley Chapel, FL 33544
Phone (813) 907-9992

2020 Ashley Oaks Cir
Ste 1
Wesley Chapel, FL 33544

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9636/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1295039691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 SHIPWATCH CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025736",
            "telephone_number": "855-834-6911",
            "fax_number": "813-443-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 W VIRGINIA AVE",
            "address_2": "SUITE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076357",
            "telephone_number": "855-834-6911",
            "fax_number": "813-443-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS PITTMAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-29",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "C.",
        "authorized_official_middle_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "855-834-6911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME0064760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4687430",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DW0684",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BLUE",
            "identifier": "0088J",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01472670",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vein911",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.