Organization Active NPI

Jaime F Casellas MD Corp

  • Cardiovascular Disease Physician
  • Tampa, FL
National Provider Identifier
1982128062
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
21457 Issued in FL
Legal business name
JAIME F CASELLAS MD CORP
Practice address
4600 N Habana Ave Suit #13
Tampa, FL 33614
Phone
(813) 870-3278
Fax
(813) 870-2294
NPI assigned
Jul 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Jaime Felipe Casellas II, MD
Title
President
Phone
(813) 389-2313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 21457 FL Primary

Addresses

Primary practice location

4600 N Habana Ave Suit #13
Tampa, FL 33614

Mailing address

4600 N Habana Ave Ste 13
Tampa, FL 33614-7123
Phone (813) 870-3278

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1982128062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 N HABANA AVE STE 13",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147123",
            "telephone_number": "813-870-3278",
            "fax_number": "813-870-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 N HABANA AVE SUIT #13",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33614",
            "telephone_number": "813-870-3278",
            "fax_number": "813-870-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIME F CASELLAS MD CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CASELLAS",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "FELIPE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-389-2313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "21457",
            "primary": true
        }
    ],
    "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 21, 2022; 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.