Organization Active NPI

Gastroenterology Specialists of Tampa Bay

  • Specialist
  • Tampa, FL
National Provider Identifier
1790830800
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME53996 Issued in FL
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
275238700MedicaidFL
275993400MedicaidFL
275993401MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.