Organization Active NPI

Fad Tampa LLC

  • Psychiatry Physician
  • Wesley Chapel, FL
National Provider Identifier
1962804393
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
FAD TAMPA LLC
Practice address
2664 Cypress Ridge Blvd
Suite 102B
Wesley Chapel, FL 33544-6325
Phone
(813) 262-2102
Fax
(813) 737-0096
NPI assigned
Sep 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Authorized official

Name
Arun Ramabadran
Title
Ceo
Phone
(813) 379-3084

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X
Sleep Medicine (Otolaryngology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YS0012X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

2664 Cypress Ridge Blvd
Suite 102B
Wesley Chapel, FL 33544-6325

Mailing address

2664 Cypress Ridge Blvd
Suite 102B
Wesley Chapel, FL 33544-6325
Phone (813) 262-2102

Other names 1

  • Progressive Physicians Associates Doing business as

National Provider Directory

National Provider Directory

Locations

2664 Cypress Ridge Blvd
Ste 102B
Wesley Chapel, FL 33544
Phone (813) 262-2102

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1962804393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2664 CYPRESS RIDGE BLVD",
            "address_2": "SUITE 102B",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446325",
            "telephone_number": "813-262-2102",
            "fax_number": "813-737-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2664 CYPRESS RIDGE BLVD",
            "address_2": "SUITE 102B",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446325",
            "telephone_number": "813-262-2102",
            "fax_number": "813-737-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAD TAMPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "RAMABADRAN",
        "authorized_official_first_name": "ARUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-379-3084"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progressive Physicians Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.