Active NPI
Shylah Marie Moore Pardo, MD
- Infectious Disease Physician
- Tampa, FL
National Provider Identifier
1942627872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- ME141455
- Practice address
- 13515 Lake Terrace LN
Tampa, FL 33637-1003 - Phone
- (813) 998-8000
- NPI assigned
- Mar 28, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | ME141455 | FL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
13515 Lake Terrace LN
Tampa, FL 33637-1003
Mailing address
1625 Village Center Dr Apt 105
Lakeland, FL 33803-2868
Phone (787) 431-6777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564358400000",
"number": "1942627872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 VILLAGE CENTER DR APT 105",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338032868",
"telephone_number": "787-431-6777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13515 LAKE TERRACE LN",
"city": "TAMPA",
"state": "FL",
"postal_code": "336371003",
"telephone_number": "813-998-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE PARDO",
"first_name": "SHYLAH",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-28",
"last_updated": "2019-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "FL",
"license": "ME141455",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.