NPIMap

Organization Active NPI

Select Physicians Alliance PL

  • Otolaryngology Physician
  • Tampa, FL
National Provider Identifier
1902184781
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
SELECT PHYSICIANS ALLIANCE PL
Practice address
10002 Princess Palm Ave Ste 332
Tampa, FL 33619
Phone
(813) 571-7184
Fax
(813) 654-4695
NPI assigned
Jul 28, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Sheryl A Watts
Title
Coo
Phone
(813) 571-7184

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X NU
Otolaryngology Physician 207Y00000X NU Primary
Pediatric Otolaryngology Physician 207YP0228X NU
Facial Plastic Surgery Physician 207YS0123X NU
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X NU
Otolaryngic Allergy Physician 207YX0602X NU
Otology & Neurotology Physician 207YX0901X NU
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X NU
Physical Medicine & Rehabilitation Physician 208100000X NU
Physical Therapist 225100000X NU
Audiologist 231H00000X NU
Speech-Language Pathologist 235Z00000X NU
Audiologist-Hearing Aid Fitter 237600000X NU
Sleep Medicine (Otolaryngology) Physician 207YS0012X NU

Addresses

Primary practice location

10002 Princess Palm Ave Ste 332
Tampa, FL 33619

Mailing address

10002 Princess Palm Ave Ste 332
Tampa, FL 33619-8327
Phone (813) 571-7184

Other practice location 1

4211 Van Dyke Rd
Lutz, FL 33558-8005
Phone (813) 879-8045

Other practice location 2

5 Tampa General Cir Ste 610
Tampa, FL 33606-3659
Phone (813) 315-4327

Other practice location 3

306 S Macdill Ave
Tampa, FL 33609-3142
Phone (813) 879-6207

Other practice location 4

5105 N Armenia Ave
Tampa, FL 33603-1405
Phone (813) 879-8045

Other practice location 5

1139 Nikki View Dr
Brandon, FL 33511-4879
Phone (813) 879-8045

Other practice location 6

13015 Summerfield Square Dr
Riverview, FL 33578-7402
Phone (813) 879-8045

Other practice location 7

3000 Medical Park Dr Ste 200
Tampa, FL 33613-4695
Phone (813) 879-8045

Other practice location 8

3131 N McMullen Booth Rd
Clearwater, FL 33761-2008
Phone (727) 341-0551

Other practice location 9

4714 N Armenia Ave Ste 200
Tampa, FL 33603-2603
Phone (813) 872-8794

Other practice location 10

3006 W Azeele St
Tampa, FL 33609-3139
Phone (813) 879-8045

Other practice location 11

7433 Monika Manor Dr
Tampa, FL 33625-5814
Phone (813) 879-8045

Other practice location 12

6827 1st Ave S Ste 100
St Petersburg, FL 33707-1242
Phone (727) 341-0551

Other practice location 13

900 Carillon Pkwy Ste 300
St Petersburg, FL 33716-1118
Phone (727) 341-0551

Other practice location 14

6101 Webb Rd Ste 211
Tampa, FL 33615-2865
Phone (813) 884-4967

Other identifiers 2

IdentifierTypeStateIssuer
004140000MedicaidFL
FM218BOtherFLMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

1139 Nikki View Dr
Brandon, FL 33511
Phone (813) 685-7761

306 S Macdill Ave
Tampa, FL 33609
Phone (813) 879-6207

7433 Monika Manor Dr
Tampa, FL 33625
Phone (813) 879-5046

NPI Registry JSON

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

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1902184781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10002 PRINCESS PALM AVE STE 332",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336198327",
            "telephone_number": "813-571-7184",
            "fax_number": "813-654-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10002 PRINCESS PALM AVE STE 332",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33619",
            "telephone_number": "813-571-7184",
            "fax_number": "813-654-4695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4211 Van Dyke Rd",
            "address_purpose": "LOCATION",
            "city": "Lutz",
            "state": "FL",
            "postal_code": "335588005",
            "country_code": "US",
            "telephone_number": "813-879-8045",
            "fax_number": "813-876-6504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Tampa General Cir Ste 610",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336063659",
            "country_code": "US",
            "telephone_number": "813-315-4327",
            "fax_number": "813-315-4329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "306 S Macdill Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336093142",
            "country_code": "US",
            "telephone_number": "813-879-6207",
            "fax_number": "813-879-6221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5105 N Armenia Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336031405",
            "country_code": "US",
            "telephone_number": "813-879-8045",
            "fax_number": "813-876-6504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1139 Nikki View Dr",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335114879",
            "country_code": "US",
            "telephone_number": "813-879-8045",
            "fax_number": "813-685-2477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13015 Summerfield Square Dr",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "335787402",
            "country_code": "US",
            "telephone_number": "813-879-8045",
            "fax_number": "855-388-5356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Medical Park Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336134695",
            "country_code": "US",
            "telephone_number": "813-879-8045",
            "fax_number": "813-978-3667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3131 N McMullen Booth Rd",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337612008",
            "country_code": "US",
            "telephone_number": "727-341-0551",
            "fax_number": "727-341-0332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4714 N Armenia Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336032603",
            "country_code": "US",
            "telephone_number": "813-872-8794",
            "fax_number": "813-879-1652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3006 W Azeele St",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336093139",
            "country_code": "US",
            "telephone_number": "813-879-8045",
            "fax_number": "813-876-6504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7433 Monika Manor Dr",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336255814",
            "country_code": "US",
            "telephone_number": "813-879-8045",
            "fax_number": "813-960-3299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6827 1st Ave S Ste 100",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337071242",
            "country_code": "US",
            "telephone_number": "727-341-0551",
            "fax_number": "727-341-0332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Carillon Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337161118",
            "country_code": "US",
            "telephone_number": "727-341-0551",
            "fax_number": "727-351-0332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6101 Webb Rd Ste 211",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336152865",
            "country_code": "US",
            "telephone_number": "813-884-4967",
            "fax_number": "813-889-0847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SELECT PHYSICIANS ALLIANCE PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "813-571-7184"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207YS0012X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004140000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "FM218B",
            "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 21, 2022; 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.