Organization Active NPI

Integrated Surgical Care, PA

  • Surgery Physician
  • Brandon, FL
National Provider Identifier
1740511054
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME95712 Issued in FL
Legal business name
INTEGRATED SURGICAL CARE, PA
Practice address
205 S Moon Ave
Suite 103
Brandon, FL 33511-5716
Phone
(813) 684-8045
NPI assigned
Jan 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Meera N Menon, M.D.
Title
President
Phone
(813) 684-8045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X ME95712 FL Primary

Addresses

Primary practice location

205 S Moon Ave
Suite 103
Brandon, FL 33511-5716

Mailing address

8361 Dunham Station Dr
Tampa, FL 33647-3387
Phone (813) 684-8045

National Provider Directory

National Provider Directory

Locations

303 E Robertson St
Brandon, FL 33511
Phone (813) 239-0905

NPI Registry JSON

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1740511054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8361 DUNHAM STATION DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473387",
            "telephone_number": "813-684-8045",
            "fax_number": "813-684-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S MOON AVE",
            "address_2": "SUITE 103",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115716",
            "telephone_number": "813-684-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED SURGICAL CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-26",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MENON",
        "authorized_official_first_name": "MEERA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-684-8045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME95712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.