Active NPI
Gastroenterology Specialists of Tampa Bay
- Specialist
- Tampa, FL
National Provider Identifier
1790830800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME53996
- Legal business name
- GASTROENTEROLOGY SPECIALISTS OF TAMPA BAY
- Practice address
- 7171 N Dale Mabry Hwy
Suite 305
Tampa, FL 33614-2630 - Phone
- (813) 930-8816
- Fax
- (813) 932-1856
- NPI assigned
- Jan 25, 2007
- Last updated
- Jun 24, 2008
- 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
- Mrs. Yolanda Rosario
- Title
- Office Supervisor
- Phone
- (813) 930-8816
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME53996 | FL | Primary |
Addresses
Primary practice location
7171 N Dale Mabry Hwy
Suite 305
Tampa, FL 33614-2630
Mailing address
3633 Little Rd
Suite 104
Trinity, FL 34655-1815
Phone (727) 372-5547
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 275238700 | Medicaid | FL | |
| 275993400 | Medicaid | FL | |
| 275993401 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
7171 N Dale Mabry Hwy
Ste 305
Tampa, FL 33614
Phone (813) 930-8816
Practitioners & affiliated clinicians
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.
-
- Gastroenterology Physician
- Tampa, FL
- NPI 1023127909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214265600000",
"number": "1790830800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3633 LITTLE RD",
"address_2": "SUITE 104",
"city": "TRINITY",
"state": "FL",
"postal_code": "346551815",
"telephone_number": "727-372-5547",
"fax_number": "727-372-5976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7171 N DALE MABRY HWY",
"address_2": "SUITE 305",
"city": "TAMPA",
"state": "FL",
"postal_code": "336142630",
"telephone_number": "813-930-8816",
"fax_number": "813-932-1856"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GASTROENTEROLOGY SPECIALISTS OF TAMPA BAY",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-25",
"last_updated": "2008-06-24",
"status": "A",
"authorized_official_last_name": "ROSARIO",
"authorized_official_first_name": "YOLANDA",
"authorized_official_title_or_position": "OFFICE SUPERVISOR",
"authorized_official_telephone_number": "813-930-8816",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": "ME53996",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "275238700",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "275993400",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "275993401",
"state": "FL"
}
],
"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 Jun 24, 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.