Organization Active NPI

Tampa Bay Spine & Sports Medicine LLC

  • General Practice Physician
  • Palm Harbor, FL
National Provider Identifier
1659922169
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
TAMPA BAY SPINE & SPORTS MEDICINE LLC
Practice address
32815 US Highway 19 N Ste 200
Palm Harbor, FL 34684-3145
Phone
(727) 412-8541
Fax
(727) 412-8541
NPI assigned
Sep 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Authorized official

Name
Dr. Eric Jason Nye, D.C.NPI 1245564038
Title
President
Phone
(727) 412-8503

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

32815 US Highway 19 N Ste 200
Palm Harbor, FL 34684-3145

Mailing address

32815 US Highway 19 N Ste 200
Palm Harbor, FL 34684-3145
Phone (727) 412-8541

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.drericnye.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210511000017 FL Part B Supplier - Clinic/Group Practice 9032528740 Receives reassigned benefits from 2 practitioners
Practice locations: Palm Harbor, FL

National Provider Directory

National Provider Directory

Locations

32815 US Highway 19 N
Ste 200
Palm Harbor, FL 34684
Phone (727) 412-8503

Practitioners & affiliated clinicians

Practitioners 2

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": "1569369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1659922169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32815 US HIGHWAY 19 N STE 200",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843145",
            "telephone_number": "727-412-8541",
            "fax_number": "727-412-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32815 US HIGHWAY 19 N STE 200",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843145",
            "telephone_number": "727-412-8541",
            "fax_number": "727-412-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BAY SPINE & SPORTS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "NYE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-412-8503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.drericnye.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "32815 US Highway 19 N Ste 200",
            "city": "Palm Harbor",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346843145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.