Active NPI
Waldo Oscar Esparza, B.S., C.P.
- Prosthetics Case Management
- Tampa, FL
National Provider Identifier
1528096773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- PRO 25
- Practice address
- 5109 N Armenia Ave
Tampa, FL 33603-1405 - Phone
- (813) 801-9110
- Fax
- (813) 801-9048
- NPI assigned
- Jun 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | PRO 25 | FL | Primary |
Addresses
Primary practice location
5109 N Armenia Ave
Tampa, FL 33603-1405
Mailing address
5109 N Armenia Ave
Tampa, FL 33603-1405
Phone (813) 801-9110
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 290808 | Other | FL | STAYWELL |
| V516P-7063 | Other | FL | VA VENDOR # |
| 7376145 | Other | FL | AETNA EPDB PIN # |
| R9100 | Other | FL | BLUE CROSS BLUE SHIELD FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PRO 25 | FL | MD | Prosthetics Case Management |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa Bay Artificial Limbs, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Prosthetic/Orthotic Supplier
- Tampa, FL
- NPI 1679519243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528096773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5109 N ARMENIA AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336031405",
"telephone_number": "813-801-9110",
"fax_number": "813-801-9048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5109 N ARMENIA AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336031405",
"telephone_number": "813-801-9110",
"fax_number": "813-801-9048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESPARZA",
"first_name": "WALDO",
"middle_name": "OSCAR",
"name_prefix": "Prof.",
"credential": "B.S., C.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "FL",
"license": "PRO 25",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STAYWELL",
"identifier": "290808",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA VENDOR #",
"identifier": "V516P-7063",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA EPDB PIN #",
"identifier": "7376145",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD FL",
"identifier": "R9100",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.