Individual provider Active NPI

Paul Anthony Salas, STFA

  • Surgical Assistant
  • Tampa, FL
National Provider Identifier
1679123376
Registry record updated Sep 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
90901 Issued in FL
Practice address
9071 Iron Oak Ave
Tampa, FL 33647-3280
Phone
(813) 505-0489
NPI assigned
Sep 14, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 90901 FL Primary

Addresses

Primary practice location

9071 Iron Oak Ave
Tampa, FL 33647-3280

Mailing address

9071 Iron Oak Ave
Tampa, FL 33647-3280
Phone (813) 505-0489

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Paulanthony2@me.com Direct

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

State licenses

LicenseStateTypeSpecialty
90901FLMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1568419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568419200000",
    "number": "1679123376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9071 IRON OAK AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473280",
            "telephone_number": "813-505-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9071 IRON OAK AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473280",
            "telephone_number": "813-505-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAS",
        "first_name": "PAUL",
        "middle_name": "ANTHONY",
        "credential": "STFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-14",
        "last_updated": "2019-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "90901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Paulanthony2@me.com",
            "affiliation": "N",
            "endpointDescription": "Personal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9071 Iron Oak Ave",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336473280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Sep 14, 2019; 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.