Organization Active NPI

Eric Tridas, M.D., P.a.

  • Medical Specialty Clinic/Center
  • Tampa, FL
National Provider Identifier
1326215914
Registry record updated Jul 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
ERIC TRIDAS, M.D., P.A.
Practice address
4144 N Armenia Ave
Suite 375
Tampa, FL 33607-6400
Phone
(813) 876-8316
Fax
(813) 875-4011
NPI assigned
May 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2008

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

Authorized official

Name
Dr. Eric Q. Tridas, M.D.
Title
Director
Phone
(813) 876-8316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

4144 N Armenia Ave
Suite 375
Tampa, FL 33607-6400

Mailing address

4144 N Armenia Ave
Suite 375
Tampa, FL 33607-6400
Phone (813) 876-8316

Other identifiers 1

IdentifierTypeStateIssuer
270198700MedicaidFL

Other names 1

  • The Tridas Center for Child Development Doing business as

National Provider Directory

National Provider Directory

Locations

4144 N Armenia Ave
Ste 375
Tampa, FL 33607
Phone (813) 572-1007

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215907200000",
    "number": "1326215914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4144 N ARMENIA AVE",
            "address_2": "SUITE 375",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076400",
            "telephone_number": "813-876-8316",
            "fax_number": "813-875-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4144 N ARMENIA AVE",
            "address_2": "SUITE 375",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076400",
            "telephone_number": "813-876-8316",
            "fax_number": "813-875-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC TRIDAS, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-07-13",
        "status": "A",
        "authorized_official_last_name": "TRIDAS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "Q.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "813-876-8316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270198700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Tridas Center for Child Development",
            "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 Jul 13, 2008; 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.