Active NPI
North Tampa Physician Associates LLC
- Multi-Specialty Clinic/Center
- Spring Hill, FL
National Provider Identifier
1528608155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- NORTH TAMPA PHYSICIAN ASSOCIATES LLC
- Practice address
- 5196 Mariner Blvd
Spring Hill, FL 34609-1802 - Phone
- (352) 871-0992
- NPI assigned
- Jan 11, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ihab Herraka, MD
- Title
- President / Physician
- Phone
- (352) 871-0992
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | |||
| Psychiatry Physician | 2084P0800X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
5196 Mariner Blvd
Spring Hill, FL 34609-1802
Mailing address
18130 Longwater Run Dr
Tampa, FL 33647-2211
Phone (352) 871-0992
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578700800000",
"number": "1528608155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18130 LONGWATER RUN DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336472211",
"telephone_number": "352-871-0992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5196 MARINER BLVD",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346091802",
"telephone_number": "352-871-0992"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH TAMPA PHYSICIAN ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-11",
"last_updated": "2020-01-11",
"certification_date": "2020-01-11",
"status": "A",
"authorized_official_last_name": "HERRAKA",
"authorized_official_first_name": "IHAB",
"authorized_official_title_or_position": "PRESIDENT / PHYSICIAN",
"authorized_official_telephone_number": "352-871-0992",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spring Hill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.