Organization Active NPI

The Right Spinal Clinic Inc

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1962086777
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THE RIGHT SPINAL CLINIC INC
Practice address
4019 W Waters Ave Ste B
Tampa, FL 33614-1949
Phone
(813) 582-7000
Fax
(813) 392-2165
NPI assigned
May 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Authorized official

Name
Lianny Jimenez
Title
Owner
Phone
(813) 392-2164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4019 W Waters Ave Ste B
Tampa, FL 33614-1949

Mailing address

4019 W Waters Ave Ste B
Tampa, FL 33614-1949
Phone (813) 582-7000

Other names 1

  • EasyCare Florida Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200821000253 FL Part B Supplier - Clinic/Group Practice 9436575438 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tampa, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Easycare Florida2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4019 W Waters Ave
Ste B
Tampa, FL 33614
Phone (813) 582-7000

Practitioners & affiliated clinicians

Practitioners 5

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": "1620345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1962086777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4019 W WATERS AVE STE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141949",
            "telephone_number": "813-582-7000",
            "fax_number": "813-392-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4019 W WATERS AVE STE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141949",
            "telephone_number": "813-582-7000",
            "fax_number": "813-392-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RIGHT SPINAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "LIANNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-392-2164"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EasyCare Florida",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EasyCare Florida",
            "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 13, 2021; 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.