NPIMap

Organization Active NPI

Gene a Balis MD and Kenneth M Louis Mdneurological Surgery Associates

  • Neurological Surgery Physician
  • Tampa, FL
National Provider Identifier
1801066527
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME0041511 Issued in FL
Legal business name
GENE A BALIS MD AND KENNETH M LOUIS MDNEUROLOGICAL SURGERY ASSOCIATES
Practice address
3000 E Fletcher Ave
Suite 340
Tampa, FL 33613-4656
Phone
(813) 977-3776
Fax
(813) 977-3777
NPI assigned
Mar 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Authorized official

Name
Mrs. Leslie Balis
Title
Office Manager
Phone
(813) 977-3776

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207T00000X ME0028912 FL
Neurological Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207T00000X ME0041511 FL Primary

Addresses

Primary practice location

3000 E Fletcher Ave
Suite 340
Tampa, FL 33613-4656

Mailing address

3000 E Fletcher Ave
Suite 340
Tampa, FL 33613-4656
Phone (813) 977-3776

Other identifiers 1

IdentifierTypeStateIssuer
38183OtherFLBCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1801066527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 E FLETCHER AVE",
            "address_2": "SUITE 340",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134656",
            "telephone_number": "813-977-3776",
            "fax_number": "813-977-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 E FLETCHER AVE",
            "address_2": "SUITE 340",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134656",
            "telephone_number": "813-977-3776",
            "fax_number": "813-977-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENE A BALIS MD AND KENNETH M LOUIS MDNEUROLOGICAL SURGERY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "BALIS",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "813-977-3776",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME0028912",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME0041511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "38183",
            "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 Jan 10, 2012; 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.