Organization Active NPI

NW Tampa Surgical Associates

  • Medical Specialty Clinic/Center
  • Tampa, FL
National Provider Identifier
1407120298
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
ME82789 Issued in FL
Legal business name
NW TAMPA SURGICAL ASSOCIATES
Practice address
12015 Whitmarsh LN
Tampa, FL 33626-1737
Phone
(813) 658-3600
Fax
(813) 739-0917
NPI assigned
Feb 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Authorized official

Name
Dr. Joseph Wells Aguiar, MD
Title
Managing Member
Phone
(813) 658-3600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X ME82789 FL
Medical Specialty Clinic/Center 261QM2500X ME82789 FL Primary

Addresses

Primary practice location

12015 Whitmarsh LN
Tampa, FL 33626-1737

Mailing address

12015 Whitmarsh LN
Tampa, FL 33626-1737
Phone (813) 658-3600

Other identifiers 3

IdentifierTypeStateIssuer
7296502OtherFLAETNA
2002441OtherCCN FIRST HEALTH
01119OtherFLBCBS FL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1407120298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12015 WHITMARSH LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261737",
            "telephone_number": "813-658-3600",
            "fax_number": "813-739-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12015 WHITMARSH LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261737",
            "telephone_number": "813-658-3600",
            "fax_number": "813-739-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW TAMPA SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "AGUIAR",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "WELLS",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "813-658-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME82789",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME82789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7296502",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN FIRST HEALTH",
            "identifier": "2002441",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "01119",
            "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 Oct 18, 2012; 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.