Organization Active NPI

Tampa Medical Partners Inc.

  • General Practice Physician
  • Trinity, FL
National Provider Identifier
1689751950
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
OS6009 Issued in FL
Legal business name
TAMPA MEDICAL PARTNERS INC.
Practice address
8140 Picton Way
St#103
Trinity, FL 34655-1792
Phone
(727) 375-9700
Fax
(727) 375-9720
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2009

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

Authorized official

Name
Louis Krudo, AP
Title
Ceo/Owner
Phone
(727) 375-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X OS6009 FL Primary

Addresses

Primary practice location

8140 Picton Way
St#103
Trinity, FL 34655-1792

Mailing address

8140 Picton Way
St#103
Trinity, FL 34655-1792
Phone (727) 375-9700

Other identifiers 3

IdentifierTypeStateIssuer
043965700MedicaidFL
1295732642OtherFLNPI GARY R LEVINE DO
K1810OtherFLMEDICARE TAMPA MEDICAL PARTNERS ID

National Provider Directory

National Provider Directory

Locations

8140 Picton Way
Ste 103
Trinity, FL 34655
Phone (727) 375-9700

Practitioners & affiliated clinicians

Practitioners 1

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261440000000",
    "number": "1689751950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8140 PICTON WAY",
            "address_2": "ST#103",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551792",
            "telephone_number": "727-375-9700",
            "fax_number": "727-375-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8140 PICTON WAY",
            "address_2": "ST#103",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551792",
            "telephone_number": "727-375-9700",
            "fax_number": "727-375-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA MEDICAL PARTNERS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "KRUDO",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "727-375-9700",
        "authorized_official_credential": "AP"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS6009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043965700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GARY R LEVINE DO",
            "identifier": "1295732642",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TAMPA MEDICAL PARTNERS ID",
            "identifier": "K1810",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinity, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; 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.