Organization Active NPI

St. Joseph's Community Care

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1427007442
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ST. JOSEPH'S COMMUNITY CARE
Practice address
3550 W. Waters Avenue
Tampa, FL 33614-2716
Phone
(813) 886-8899
Fax
(813) 886-4964
NPI assigned
May 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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

Authorized official

Name
Sherry Dorsey
Title
Corporate Office-Authorized Agent
Phone
(813) 636-2022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3550 W. Waters Avenue
Tampa, FL 33614-2716

Mailing address

4902 Eisenhower Blvd
Suite 300
Tampa, FL 33634-6344
Phone (813) 636-2000

National Provider Directory

National Provider Directory
Tax ID family
St Josephs Community Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1427007442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4902 EISENHOWER BLVD",
            "address_2": "SUITE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336346344",
            "telephone_number": "813-636-2000",
            "fax_number": "813-886-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 W. WATERS AVENUE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142716",
            "telephone_number": "813-886-8899",
            "fax_number": "813-886-4964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH'S COMMUNITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "DORSEY",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "CORPORATE OFFICE-AUTHORIZED AGENT",
        "authorized_official_telephone_number": "813-636-2022"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 15, 2010; 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.