Organization Active NPI

The Good Shepherd Sleep Center

  • Sleep Disorder Diagnostic Clinic/Center
  • Tampa, FL
National Provider Identifier
1518212646
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
THE GOOD SHEPHERD SLEEP CENTER
Practice address
13668 W Hillsborough Ave
Tampa, FL 33635
Phone
(727) 807-6969
Fax
(727) 400-3292
NPI assigned
Jul 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Authorized official

Name
Helmy GhalyNPI 1932787165
Title
Ceo
Phone
(813) 727-3587

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X FL
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

13668 W Hillsborough Ave
Tampa, FL 33635

Mailing address

13668 W Hillsborough Ave
Tampa, FL 33635
Phone (727) 807-6969

Other identifiers 1

IdentifierTypeStateIssuer
V009DOtherFLBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

9113 Ridge Rd
Ste 4
New Prt Rchy, FL 34654

13668 W Hillsborough Ave
Tampa, FL 33635
Phone (727) 807-6969

15241 Amberly Dr
Tampa, FL 33647
Phone (813) 559-1800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1342310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553040000000",
    "number": "1518212646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13668 W HILLSBOROUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33635",
            "telephone_number": "727-807-6969",
            "fax_number": "727-400-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13668 W HILLSBOROUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33635",
            "telephone_number": "727-807-6969",
            "fax_number": "727-400-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GOOD SHEPHERD SLEEP CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-15",
        "last_updated": "2019-03-20",
        "status": "A",
        "authorized_official_last_name": "GHALY",
        "authorized_official_first_name": "HELMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-727-3587"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "V009D",
            "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 20, 2019; 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.