Carl A Tandatnick, M.D.

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

ME52151 Issued in FL

Practice address

1301 2ND Ave SW
Largo, FL 33770-3120

Phone

(727) 584-7706

Fax

(727) 585-4619

NPI assigned

Jun 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Pain ManagementAlso: Anesthesiology

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia and Pain Physicians of Florida, PAGroup PAC ID 7911804687, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Desoto Memorial Hospital Hospital, Arcadia, FL, CCN 100175

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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

• Anesthesia and Pain Physicians of Florida, PA

  • Specialist
  • Bradenton, FL
  • NPI 1982815080
  Medicare reassignment Care Compare group NPD
• Regional Rehab Associates PA

  • Physical Medicine & Rehabilitation Physician
  • Naples, FL
  • NPI 1073714010
  Medicare reassignment NPD
• Independent Anesthesiologists, PLLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1841614674
  NPD (past)

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

• Desoto County Hospital District

  • Rural Acute Care Hospital
  • Arcadia, FL
  • NPI 1528387842
  Care Compare affiliation

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297987200000",
    "number": "1316976806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 2ND AVE SW",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703120",
            "telephone_number": "727-584-7706",
            "fax_number": "727-585-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 2ND AVE SW",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703120",
            "telephone_number": "727-584-7706",
            "fax_number": "727-585-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANDATNICK",
        "first_name": "CARL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2011-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME52151",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME52151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Tallman, PTA
• Tampa Bay Hearing Health Inc.
• Tampa Bay Hearing Health, Inc.
• Tampa Bay Oncology Center, Inc.
• Tampa Bay Surgical
• Vinay Kumar Taneja
• Yi Tang
• Telma Taracena
• Kenneth D. Taraszka, M.D.
• Nicole Tarbox

• Pain Medicine Physician in Largo, FL
• Providers in Largo, 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 Feb 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.