Medical Associates of Tampa Bay, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

OS11031 Issued in FL

Legal business name

MEDICAL ASSOCIATES OF TAMPA BAY, LLC

Practice address

6150 N US Highway 41
Apollo Beach, FL 33572-1806

Phone

(813) 641-0007

NPI assigned

Jun 12, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Sasha Noe, D.O, PHD

Title

Owner

Phone

(813) 641-0007

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1811259237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 N US HIGHWAY 41",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335721806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 N US HIGHWAY 41",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335721806",
            "telephone_number": "813-641-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ASSOCIATES OF TAMPA BAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "NOE",
        "authorized_official_first_name": "SASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-641-0007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O, PHD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "OS11031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1639308992",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Mastro, APRN
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• Kathleen McQuestion
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• Primary Care Clinic/Center in Apollo Beach, FL
• Providers in Apollo Beach, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.