NPIMap

Organization Active NPI

St Josephs Specialty Services Inc

  • Surgery Physician
  • Tampa, FL
National Provider Identifier
1750411237
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ST JOSEPHS SPECIALTY SERVICES INC
Practice address
4902 Eisenhower Blvd
Suite 300
Tampa, FL 33634-6310
Phone
(813) 636-2000
Fax
(813) 286-8835
NPI assigned
Mar 6, 2007
Last updated
Apr 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Sherry D Dorsey
Title
Corporate Secretary Administrator
Phone
(813) 636-2000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VX0201X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

4902 Eisenhower Blvd
Suite 300
Tampa, FL 33634-6310

Mailing address

4902 Eisenhower Blvd
Suite 300
Tampa, FL 33634-6310
Phone (813) 636-2000

National Provider Directory

National Provider Directory

Locations

1903 E State Road 60
Ste E
Valrico, FL 33594
Phone (813) 655-8096

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1750411237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4902 EISENHOWER BLVD",
            "address_2": "SUITE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336346310",
            "telephone_number": "813-636-2000",
            "fax_number": "813-286-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 EISENHOWER BLVD",
            "address_2": "SUITE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336346310",
            "telephone_number": "813-636-2000",
            "fax_number": "813-286-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPHS SPECIALTY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "DORSEY",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CORPORATE SECRETARY ADMINISTRATOR",
        "authorized_official_telephone_number": "813-636-2000"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Apr 1, 2008; 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.