Active NPI
Radiology Associates of Tampa PA
- Diagnostic Radiology Physician
- Tampa, FL
National Provider Identifier
1982806485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- RADIOLOGY ASSOCIATES OF TAMPA PA
- Practice address
- 4555 S Manhattan Ave
Radiology Assoc of Tampa at Kindred Hospital Tampa
Tampa, FL 33611-2305 - Phone
- (813) 839-6341
- NPI assigned
- Jun 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Larry Smith
- Title
- C.E.O.
- Phone
- (813) 251-5822
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | |||
| Nuclear Radiology Physician | 2085N0904X | |||
| Pediatric Radiology Physician | 2085P0229X | |||
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
4555 S Manhattan Ave
Radiology Assoc of Tampa at Kindred Hospital Tampa
Tampa, FL 33611-2305
Mailing address
2700 University Square Dr
Rat at Kindred Hospital Tampa
Tampa, FL 33612-5513
Phone (813) 251-5822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 262968203 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251331200000",
"number": "1982806485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 UNIVERSITY SQUARE DR",
"address_2": "RAT AT KINDRED HOSPITAL TAMPA",
"city": "TAMPA",
"state": "FL",
"postal_code": "336125513",
"telephone_number": "813-251-5822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4555 S MANHATTAN AVE",
"address_2": "RADIOLOGY ASSOC OF TAMPA AT KINDRED HOSPITAL TAMPA",
"city": "TAMPA",
"state": "FL",
"postal_code": "336112305",
"telephone_number": "813-839-6341"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIOLOGY ASSOCIATES OF TAMPA PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-05",
"last_updated": "2009-08-27",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "LARRY",
"authorized_official_title_or_position": "C.E.O.",
"authorized_official_telephone_number": "813-251-5822",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Neuroradiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Nuclear Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Pediatric Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "262968203",
"state": "FL"
}
],
"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 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.