Tampa Bay Orthopaedics PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0066239 Issued in FL

Legal business name

TAMPA BAY ORTHOPAEDICS PA

Practice address

613 S Magnolia Ave Ste 1
Tampa, FL 33606-2767

Phone

(813) 254-9586

Fax

(813) 254-2086

NPI assigned

Feb 1, 2007

Last updated

Oct 17, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles Barry Craythorne, M.D.NPI 1013936756

Title

President

Phone

(813) 254-9586

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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.

• Charles Barry Craythorne, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Tampa, FL
  • NPI 1013936756
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1780722116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 S MAGNOLIA AVE STE 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062767",
            "telephone_number": "813-254-9586",
            "fax_number": "813-254-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 S MAGNOLIA AVE STE 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062767",
            "telephone_number": "813-254-9586",
            "fax_number": "813-254-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BAY ORTHOPAEDICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "CRAYTHORNE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "BARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-254-9586",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0066239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1013936756",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tampa Bay Optical Inc.
• Tampa Bay Optometric Group PA
• Tampa Bay Optometric Group PA
• Tampa Bay Optometric Group PA
• Tampa Bay Orthopaedic Designs Inc
• Tampa Bay Orthopedic Surgery Group
• Tampa Bay Pediatrics LLC
• Tampa Bay Physical Therapy and Rehab LLC
• Tampa Bay Plastic Surgery Inc.
• Tampa Bay Podiatry Associatespa (tampa office for Tampa bay Podiatry Associates)

• Specialist in Tampa, FL
• Providers in Tampa, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.