Organization Active NPI

Tampa Bay Neurosurgical Associates LLC

  • Neurological Surgery Physician
  • St Petersburg, FL
National Provider Identifier
1861084816
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
TAMPA BAY NEUROSURGICAL ASSOCIATES LLC
Practice address
6830 Central Ave Ste B
Saint Petersburg, FL 33707-1208
Phone
(727) 623-4311
Fax
(727) 623-0052
NPI assigned
Feb 10, 2021
Last updated
Feb 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Authorized official

Name
Dr. Jeffrey Scott Walker, MDNPI 1972505451
Title
Owner
Phone
(727) 623-4311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X Primary

Addresses

Primary practice location

6830 Central Ave Ste B
Saint Petersburg, FL 33707-1208

Mailing address

6830 Central Ave Ste B
Saint Petersburg, FL 33707-1208
Phone (727) 623-4311

Other names 1

  • Jeffrey Walker, MD PA Other name

National Provider Directory

National Provider Directory

Locations

6830 Central Ave
Ste B
Saint Petersburg, FL 33707
Phone (727) 623-4311

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1861084816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6830 CENTRAL AVE STE B",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337071208",
            "telephone_number": "727-623-4311",
            "fax_number": "727-623-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6830 CENTRAL AVE STE B",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337071208",
            "telephone_number": "727-623-4311",
            "fax_number": "727-623-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BAY NEUROSURGICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-623-4311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeffrey Walker, MD PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.