Tampa Bay Orthopaedic Designs, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

POR124 Issued in FL

Legal business name

TAMPA BAY ORTHOPAEDIC DESIGNS, INC.

Practice address

667 S Kings Ave
Brandon, FL 33511-4885

Phone

(813) 661-9162

Fax

(813) 662-9347

NPI assigned

Aug 21, 2007

Organization subpart

Yes

Parent organization

TAMPA BAY ORTHOPAEDIC DESIGNS INCAs reported in NPPES

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

Authorized official

Name

Olaf Mickle Holm, PROSTHETIST/ORTHOTISNPI 1740797901

Title

President

Phone

(813) 661-9162

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 4

Part of

Tampa Bay Orthopaedic Designs Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Tampa Bay Orthopaedic Designs Inc

  • Prosthetic/Orthotic Supplier
  • Tampa, FL
  • NPI 1629061007
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Olaf M Holm, LPO

  • Prosthetist
  • Tampa, FL
  • NPI 1740797901

  Orthotist

  NPD (past) Authorized official
• Amy Holm

  • Prosthetic/Orthotic Supplier
  • Tampa, FL
  • NPI 1922429588
  NPD
• Hector L Beza, OF

  • Orthotic Fitter
  • Tampa, FL
  • NPI 1841824869
  NPD (past)

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1861685083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 S KINGS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116048",
            "telephone_number": "813-661-9162",
            "fax_number": "813-662-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 S KINGS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114885",
            "telephone_number": "813-661-9162",
            "fax_number": "813-662-9347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BAY ORTHOPAEDIC DESIGNS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TAMPA BAY ORTHOPAEDIC DESIGNS INC",
        "enumeration_date": "2007-08-21",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "HOLM",
        "authorized_official_first_name": "OLAF",
        "authorized_official_middle_name": "MICKLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-661-9162",
        "authorized_official_credential": "PROSTHETIST/ORTHOTIS"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "POR124",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF FL",
            "identifier": "M2713",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1861685083",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tbo.designs@outlook.com",
            "affiliation": "Y",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "812 W Martin Luther King Blvd",
            "address_2": "Ste 100",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336033338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tbo@tbodesigns.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "667 S Kings Ave",
            "city": "Brandon",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335114885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tbo@tbodesigns.net",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1377 Providence Rd",
            "city": "Brandon",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335114885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tbo@tbodesigns.net",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "667 S Kings Ave",
            "city": "Brandon",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335114885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hannah Tallent Fernandez
• Umesh Tamhane, MD
• Tampa Bay Center for Cognitive Behavior Therapy, Inc
• Tampa Bay Emergency Physicians LLC
• Tampa Bay Neurology Clinic Inc
• Tampa Bay Pulmonary and Sleep Medicine PA
• Tampa Bay Pulmonary Medicine, PA
• Tampa Bay Radiation Oncology, PA
• Tampa Bay Radiology Associates PA
• Tampa Bay Spine and Injury

• Prosthetic/Orthotic Supplier in Brandon, FL
• Providers in Brandon, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.