NPIMap

Organization Active NPI

Tampa Bay Surgery Center Associates, LTD.

  • Ambulatory Surgical Clinic/Center
  • Tampa, FL
National Provider Identifier
1396796249
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
1211 Issued in FL
Legal business name
TAMPA BAY SURGERY CENTER ASSOCIATES, LTD.
Practice address
2727 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6383
Phone
(813) 357-5905
Fax
(813) 874-2509
NPI assigned
May 15, 2006
Last updated
Mar 16, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
TAMPA BAY SURGERY CENTER ASSOCIATES LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

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

Authorized official

Name
Mr. Jay L Rosen
Title
C.E.O
Phone
(813) 961-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 1211 FL Primary

Addresses

Primary practice location

2727 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6383

Mailing address

11811 N Dale Mabry Hwy
Tampa, FL 33618-3505
Phone (813) 961-8500

Other identifiers 1

IdentifierTypeStateIssuer
075986400MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050512000195 FL Part B Supplier - Ambulatory Surgical Center 4284674953 Practice locations: Tampa, FL

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Tampa Bay Surgery Center LTDCCN 10C0001442
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Tampa Bay Surgery Ctr4 organizations share this tax ID, including this one
Part of
Tampa Bay Surgery Ctr

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2727 W Mlk Blvd
Tampa, FL 33607
Phone (813) 350-7244

2727 W Mlk Blvd
Ste 100
Tampa, FL 33607
Phone (813) 357-5900

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1396796249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11811 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336183505",
            "telephone_number": "813-961-8500",
            "fax_number": "831-265-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W DR MARTIN LUTHER KING JR BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076383",
            "telephone_number": "813-357-5905",
            "fax_number": "813-874-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BAY SURGERY CENTER ASSOCIATES, LTD.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TAMPA BAY SURGERY CENTER ASSOCIATES LTD",
        "enumeration_date": "2006-05-15",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "813-961-8500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "1211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "075986400",
            "state": "FL"
        }
    ],
    "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 Mar 16, 2012; 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.