NPIMap

Organization Active NPI

Jaydeep Patel MD PA

  • Primary Care Clinic/Center
  • Tampa, FL
National Provider Identifier
1982746962
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME72604 Issued in FL
Legal business name
JAYDEEP PATEL MD PA
Practice address
10311 Cross Creek Blvd
Suite D
Tampa, FL 33647-2989
Phone
(813) 994-7670
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jaydeep J Patel
Title
President
Phone
(813) 731-8171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME72604 FL Primary

Addresses

Primary practice location

10311 Cross Creek Blvd
Suite D
Tampa, FL 33647-2989

Mailing address

17932 Timber View St
Tampa, FL 33647-2949
Phone (813) 994-7670

National Provider Directory

National Provider Directory

Locations

10311 Cross Creek Blvd
Ste D
Tampa, FL 33647
Phone (813) 994-7670

Practitioners & affiliated clinicians

Practitioners 2

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": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982746962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17932 TIMBER VIEW ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472949",
            "telephone_number": "813-994-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10311 CROSS CREEK BLVD",
            "address_2": "SUITE D",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472989",
            "telephone_number": "813-994-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYDEEP PATEL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JAYDEEP",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-731-8171"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME72604",
            "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 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.