Tampa Bay Open MRI (Tampa)

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME40704 Issued in FL

Legal business name

TAMPA BAY OPEN MRI (TAMPA)

Practice address

15511 N Florida Ave
Tampa, FL 33613-1263

Phone

(863) 646-8955

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Siegfried K Holz, MDNPI 1932388915

Title

President

Phone

(863) 646-8955

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• SIEGFRIED K HOLZ MD PA Other name

Tax ID family

Tampa Bay Open MRI Tampa5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Precise Diagnostic Imaging of Brandon

  • Specialist
  • Brandon, FL
  • NPI 1215011994
  NPD tax ID
• Precise Diagnostic Imaging of Riverview

  • Specialist
  • Riverview, FL
  • NPI 1417141581
  NPD tax ID
• Siegfried K Holz MD PA

  • Specialist
  • Lakeland, FL
  • NPI 1922186121
  NPD tax ID
• Sun City Center Open MRI

  • Specialist
  • Ruskin, FL
  • NPI 1245319508
  NPD tax ID

Locations

Practitioners 1

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

• Siegfried Karl Holz, M.D.

  • Diagnostic Radiology Physician
  • Lakeland, FL
  • NPI 1932388915

  Specialist

  NPD (past) Authorized official

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962586628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131105",
            "telephone_number": "813-269-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15511 N FLORIDA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131263",
            "telephone_number": "863-646-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BAY OPEN MRI (TAMPA)",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLZ",
        "authorized_official_first_name": "SIEGFRIED",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-646-8955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME40704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2376434",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "V2923",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIEGFRIED K HOLZ MD PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Specialist in Tampa, FL
• Providers in Tampa, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.