Organization Active NPI

Marc R Stauffer, M.D., P.a.

Doing business as Palma Ceia Heart & Vascular

  • Interventional Cardiology Physician
  • Tampa, FL
National Provider Identifier
1386832582
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME93781 Issued in FL
Legal business name
MARC R STAUFFER, M.D., P.A.
Doing business as
Palma Ceia Heart & Vascular
Practice address
2919 W Swann Ave
Suite 102
Tampa, FL 33609-4038
Phone
(813) 870-3971
Fax
(813) 872-6594
NPI assigned
Oct 12, 2007
Last updated
Oct 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Authorized official

Name
Marc Robert Stauffer, MDNPI 1912913971
Title
Ceo/ President
Phone
(813) 870-3971

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X ME93781 FL Primary

Addresses

Primary practice location

2919 W Swann Ave
Suite 102
Tampa, FL 33609-4038

Mailing address

PO Box 10808
Tampa, FL 33679-0808
Phone (813) 870-3971

Other identifiers 1

IdentifierTypeStateIssuer
279680500MedicaidFL

Other names 1

  • Palma Ceia Heart & Vascular Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080111000343 FL Part B Supplier - Clinic/Group Practice 4385725738 Receives reassigned benefits from 4 practitioners
Practice locations: Tampa, FL

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
10D2015173Palma Ceia Heart and Vascular2919 W Swann Ave Ste 102, Tampa, FL 33609Certificate of waiverOct 21, 2026

National Provider Directory

National Provider Directory

Locations

1881 W Kennedy Blvd
Ste Ab
Tampa, FL 33606
Phone (813) 513-3030

2919 W Swann Ave
Ste 102
Tampa, FL 33609
Phone (813) 870-3971

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1386832582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10808",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336790808",
            "telephone_number": "813-870-3971",
            "fax_number": "813-872-6594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 W SWANN AVE",
            "address_2": "SUITE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094038",
            "telephone_number": "813-870-3971",
            "fax_number": "813-872-6594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC R STAUFFER, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "STAUFFER",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CEO/ PRESIDENT",
        "authorized_official_telephone_number": "813-870-3971",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME93781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279680500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palma Ceia Heart & Vascular",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palma Ceia Heart & Vascular",
            "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 Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.