Organization Active NPI

Linebaugh Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Tampa, FL
National Provider Identifier
1851804561
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
OSR1258 Issued in FL
Legal business name
LINEBAUGH SURGERY CENTER
Practice address
4104 W Linebaugh Ave Ste 300
Tampa, FL 33624-5239
Phone
(812) 229-2225
NPI assigned
Nov 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

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

Authorized official

Name
Dr. Edward Leonard, DC
Title
Ceo
Phone
(813) 786-2339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X OSR1258 FL Primary

Addresses

Primary practice location

4104 W Linebaugh Ave Ste 300
Tampa, FL 33624-5239

Mailing address

4104 W Linebaugh Ave Ste 300
Tampa, FL 33624-5239
Phone (812) 229-2225

National Provider Directory

National Provider Directory

Locations

4104 W Linebaugh Ave
Ste 300
Tampa, FL 33624
Phone (812) 229-2225

NPI Registry JSON

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510790400000",
    "number": "1851804561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 W LINEBAUGH AVE STE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336245239",
            "telephone_number": "812-229-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 W LINEBAUGH AVE STE 300",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336245239",
            "telephone_number": "812-229-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINEBAUGH SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-16",
        "last_updated": "2017-11-16",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-786-2339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "OSR1258",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 16, 2017; 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.