NPIMap

Organization Active NPI

Careatc-City of Tampa Popov

  • Primary Care Clinic/Center
  • Tampa, FL
National Provider Identifier
1295287878
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CAREATC-CITY OF TAMPA POPOV
Practice address
4107 N Himes Ave
Suite 101
Tampa, FL 33607-6655
Phone
(800) 993-8244
NPI assigned
Oct 28, 2016
Last updated
Oct 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Authorized official

Name
Keith Gucwa
Title
Dir of Facilities and Purchasing
Phone
(918) 779-7416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

4107 N Himes Ave
Suite 101
Tampa, FL 33607-6655

Mailing address

4107 N Himes Ave
Suite 101
Tampa, FL 33607-6655
Phone (800) 993-8244

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2021580Careatc City of Tampa4107 N Himes Ave Ste 101, Tampa, FL 33607Certificate of waiverMar 15, 2027

National Provider Directory

National Provider Directory
Tax ID family
Careatc - Caledonia118 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 11

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1295287878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4107 N HIMES AVE",
            "address_2": "SUITE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076655",
            "telephone_number": "800-993-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 N HIMES AVE",
            "address_2": "SUITE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076655",
            "telephone_number": "800-993-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREATC-CITY OF TAMPA POPOV",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-28",
        "last_updated": "2016-10-28",
        "status": "A",
        "authorized_official_last_name": "GUCWA",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "DIR OF FACILITIES AND PURCHASING",
        "authorized_official_telephone_number": "918-779-7416"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.