NPIMap

Organization Active NPI

Memon Health Associates, LLC

Doing business as Tampa Urgent Care

  • Urgent Care Clinic/Center
  • Tampa, FL
National Provider Identifier
1891164398
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MEMON HEALTH ASSOCIATES, LLC
Doing business as
Tampa Urgent Care
Practice address
12950 Race Track Rd
Suite 106
Tampa, FL 33626-1309
Phone
(813) 616-8810
Fax
(813) 616-8809
NPI assigned
Sep 15, 2015
Last updated
May 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Authorized official

Name
Sumera H Memon, DONPI 1336302348
Title
Partner
Phone
(561) 326-1964

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
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

12950 Race Track Rd
Suite 106
Tampa, FL 33626-1309

Mailing address

12950 Race Track Rd
Suite 106
Tampa, FL 33626-1309
Phone (813) 616-8810

Other names 1

  • Tampa Urgent Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160713001021 FL Part B Supplier - Clinic/Group Practice 7416257860 Receives reassigned benefits from 27 practitioners
Practice locations: Brandon, FL; Tampa, FL

National Provider Directory

National Provider Directory

Locations

1236 Kingsway Rd
Brandon, FL 33510
Phone (813) 616-8810

12950 Race Track Rd
Ste 106
Tampa, FL 33626
Phone (813) 616-8810

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12589/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1891164398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12950 RACE TRACK RD",
            "address_2": "SUITE 106",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261309",
            "telephone_number": "813-616-8810",
            "fax_number": "813-616-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12950 RACE TRACK RD",
            "address_2": "SUITE 106",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261309",
            "telephone_number": "813-616-8810",
            "fax_number": "813-616-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMON HEALTH ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "MEMON",
        "authorized_official_first_name": "SUMERA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "561-326-1964",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tampa Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 3, 2016; 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.