Tampa Bay Hand Surgery Center, P.a.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

1078 Issued in FL

Legal business name

TAMPA BAY HAND SURGERY CENTER, P.A.

Practice address

13905 Bruce B Downs Blvd
Suite B
Tampa, FL 33613-3998

Phone

(813) 978-9494

Fax

(813) 979-4817

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Khader Muqtadir, M.D.NPI 1619196185

Title

Owner/President

Phone

(813) 978-9494

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Tampa Bay Hand Center Ambulatory Surgery Division, P.A Former legal business name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

Tampa Bay Hand Surgery Center PACCN 10C0001307

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 6

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

• Khader Muqtadir, M.D.

  • Surgery of the Hand (Surgery) Physician
  • Tampa, FL
  • NPI 1619196185
  NPD Authorized official
• Jennifer Brubaker

  • Certified Registered Nurse Anesthetist
  • St Petersburg, FL
  • NPI 1417314113
  NPD (past)
• Christie Elsea

  • Certified Registered Nurse Anesthetist
  • Orlando, FL
  • NPI 1255812814
  NPD (past)
• Oneal McFarlane, CRNA

  • Certified Registered Nurse Anesthetist
  • Tampa, FL
  • NPI 1982076758
  NPD (past)
• Diana Weston Rudd, CRNA

  • Certified Registered Nurse Anesthetist
  • Plant City, FL
  • NPI 1134322647
  NPD (past)
• Lorissa Walz, CRNA

  • Certified Registered Nurse Anesthetist
  • Orlando, FL
  • NPI 1497760839
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1932230141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13905 BRUCE B DOWNS BLVD",
            "address_2": "SUITE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133998",
            "telephone_number": "813-978-9494",
            "fax_number": "813-979-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13905 BRUCE B DOWNS BLVD",
            "address_2": "SUITE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133998",
            "telephone_number": "813-978-9494",
            "fax_number": "813-979-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BAY HAND SURGERY CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "MUQTADIR",
        "authorized_official_first_name": "KHADER",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "813-978-9494",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "1078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL",
            "identifier": "16180500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL STATE LICENSE",
            "identifier": "1078",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tampa Bay Hand Center Ambulatory Surgery Division, P.A",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Tampa Bay Hand Center Ambulatory Surgery Division, P.A",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Tampa Bay Endocrinology PA
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• Tampa Bay Eye Health LLC (Manatee Optometry)
• Tampa Bay Garden Home Health LLC
• Tampa Bay Hand Center, P.a.
• Tampa Bay Health Alliance, LLC
• Tampa Bay Health and Wellness
• Tampa Bay Health Group Corp
• Tampa Bay Hearing and Balance Center
• Tampa Bay Holistic Wellness

• Ambulatory Surgical Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.