Organization Active NPI

Pamela B. Baines, MD, PA

  • Otolaryngology Physician
  • Tampa, FL
National Provider Identifier
1861789224
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME0070987 Issued in FL
Legal business name
PAMELA B. BAINES, MD, PA
Practice address
2727 W Dr Martin Luther King Jr Blvd
Suite 660
Tampa, FL 33607-6383
Phone
(813) 876-6010
Fax
(813) 876-8411
NPI assigned
Jul 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

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

Authorized official

Name
Dr. Pamela B. Baines, MD
Title
President
Phone
(813) 876-6010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X ME0070987 FL Primary

Addresses

Primary practice location

2727 W Dr Martin Luther King Jr Blvd
Suite 660
Tampa, FL 33607-6383

Mailing address

2727 W Dr Martin Luther King Jr Blvd
Suite 660
Tampa, FL 33607-6383
Phone (813) 876-6010

Other identifiers 2

IdentifierTypeStateIssuer
2502933300MedicaidFL
1750378170OtherFLNPI

National Provider Directory

National Provider Directory

Locations

2727 W Mlk Blvd
Ste 660
Tampa, FL 33607
Phone (813) 846-6010

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1861789224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 W DR MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 660",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076383",
            "telephone_number": "813-876-6010",
            "fax_number": "813-876-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W DR MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 660",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076383",
            "telephone_number": "813-876-6010",
            "fax_number": "813-876-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA B. BAINES, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-06",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "BAINES",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-876-6010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME0070987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2502933300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1750378170",
            "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 Jul 6, 2011; 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.