Organization Active NPI

Elliot E. Cazes MD, New Tampa OB-GYN, PA

  • Specialist
  • Tampa, FL
National Provider Identifier
1881975019
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME 67876 Issued in FL
Legal business name
ELLIOT E. CAZES MD, NEW TAMPA OB-GYN, PA
Practice address
14424 Bruce B Downs Blvd
Tampa, FL 33613-2612
Phone
(813) 977-2757
Fax
(813) 977-6639
NPI assigned
Sep 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Authorized official

Name
Dr. Elliot E Cazes, M.D.NPI 1629042460
Title
Doctor
Phone
(813) 977-2757

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME 67876 FL Primary

Addresses

Primary practice location

14424 Bruce B Downs Blvd
Tampa, FL 33613-2612

Mailing address

14424 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 977-2757

Other identifiers 2

IdentifierTypeStateIssuer
26834ROtherFLMEDICARE ID TYPE UNSPECIFIED
377511900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050413000954 FL Part B Supplier - Clinic/Group Practice 8325085053 Receives reassigned benefits from 1 practitioner
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Locations

14424 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 977-2757

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1881975019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14424 BRUCE B DOWNS BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33613",
            "telephone_number": "813-977-2757",
            "fax_number": "813-977-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14424 BRUCE B DOWNS BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336132612",
            "telephone_number": "813-977-2757",
            "fax_number": "813-977-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOT E. CAZES MD, NEW TAMPA OB-GYN, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-01",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "CAZES",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "813-977-2757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME 67876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPECIFIED",
            "identifier": "26834R",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377511900",
            "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 Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.