Active NPI
Integrated Surgical Care, PA
- Surgery Physician
- Brandon, FL
National Provider Identifier
1740511054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME95712
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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 DirectoryLocations
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": []
}
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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.