Organization Active NPI

Ernesto Jimenez, PA

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Tampa, FL
National Provider Identifier
1518228865
Registry record updated Jun 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
ME70856 Issued in FL
Legal business name
ERNESTO JIMENEZ, PA
Practice address
3000 E Fletcher Ave
Suite 350
Tampa, FL 33613-4656
Phone
(813) 977-5557
Fax
(813) 972-9211
NPI assigned
Jun 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2012

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

Authorized official

Name
Ernesto Jimenez, M.D.
Title
MD/Owner
Phone
(813) 977-5557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X ME70856 FL Primary

Addresses

Primary practice location

3000 E Fletcher Ave
Suite 350
Tampa, FL 33613-4656

Mailing address

3000 E Fletcher Ave
Suite 350
Tampa, FL 33613-4656
Phone (813) 977-5557

Other identifiers 1

IdentifierTypeStateIssuer
250646700MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340323200000",
    "number": "1518228865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 E FLETCHER AVE",
            "address_2": "SUITE 350",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134656",
            "telephone_number": "813-977-5557",
            "fax_number": "813-972-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 E FLETCHER AVE",
            "address_2": "SUITE 350",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134656",
            "telephone_number": "813-977-5557",
            "fax_number": "813-972-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNESTO JIMENEZ, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-04",
        "last_updated": "2012-06-22",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "813-977-5557",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME70856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250646700",
            "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 Jun 22, 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.