Bay Pediatric Cardiology Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0069549 Issued in FL

Legal business name

BAY PEDIATRIC CARDIOLOGY INC

Practice address

2727 W Martin Luther King Blvd
Suite 620
Tampa, FL 33607

Phone

(813) 890-8004

Fax

(813) 290-9691

NPI assigned

Oct 6, 2005

Last updated

Apr 8, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Natraj Ballal, M.D.NPI 1659369478

Title

Physician

Phone

(813) 890-8004

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Natraj Nidamboor Ballal, M.D.

  • Specialist
  • Tampa, FL
  • NPI 1659369478
  Medicare reassignment NPD Authorized official
• Timothy Michael Bradley, M.D.

  • Pediatric Orthopaedic Surgery Physician
  • Brandon, FL
  • NPI 1851394746
  NPD (past)
• Kimberly Fletcher, FNP-BC

  • Family Nurse Practitioner
  • Brandon, FL
  • NPI 1295419299
  NPD (past)
• Luis Edgardo Kortright, M.D.

  • Pediatric Orthopaedic Surgery Physician
  • Tampa, FL
  • NPI 1134290414
  NPD (past)
• Michael R Cool, PA

  • Physician Assistant
  • Marietta, GA
  • NPI 1164875738
  NPD (past)

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428451200000",
    "number": "1568450385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 W MARTIN LUTHER KING BLVD",
            "address_2": "SUITE 620",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33607",
            "telephone_number": "813-890-8004",
            "fax_number": "813-290-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W MARTIN LUTHER KING BLVD",
            "address_2": "SUITE 620",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33607",
            "telephone_number": "813-890-8004",
            "fax_number": "813-290-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY PEDIATRIC CARDIOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2015-04-08",
        "status": "A",
        "authorized_official_last_name": "BALLAL",
        "authorized_official_first_name": "NATRAJ",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "813-890-8004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0069549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252702200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bay Community Pediatrics PA
• Bay Harbor Home Health Care Inc
• Bay Heart Group PL
• Bay Medical Center of Tampa, P.a.
• Bay Medical Supply LLC
• Bay Point Urgent Care
• Bay Regional & Intl Inst. of Neurology, Inc
• Bay Rehabilitation Center Inc
• Bay Smiles, PLLC
• Bay Springs, Inc.

• Specialist in Tampa, FL
• Providers in Tampa, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.