Organization Active NPI

Colin S Beach MD PA

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1417177940
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COLIN S BEACH MD PA
Practice address
15285 Amberly Dr
Tampa, FL 33647-2155
Phone
(813) 979-6978
Fax
(813) 975-0534
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Colin Sandy Beach, M.D.
Title
President
Phone
(813) 979-6978

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X FL Primary

Addresses

Primary practice location

15285 Amberly Dr
Tampa, FL 33647-2155

Mailing address

15285 Amberly Dr
Tampa, FL 33647-2155
Phone (813) 979-6978

Other names 1

  • FAMILY CARE AT TAMPA PALMS Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1417177940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15285 AMBERLY DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472155",
            "telephone_number": "813-979-6978",
            "fax_number": "813-975-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15285 AMBERLY DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472155",
            "telephone_number": "813-979-6978",
            "fax_number": "813-975-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLIN S BEACH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "BEACH",
        "authorized_official_first_name": "COLIN",
        "authorized_official_middle_name": "SANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-979-6978",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY CARE AT TAMPA PALMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 16, 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.