Greater Tampa Bay Physician Specialists, LLC
NPI 1225601560ActiveOrganization· Surgery, Vascular Surgery· Bradenton, FL
Surgery, Vascular Surgery in Bradenton, Florida, registered in NPPES in July 2021, part of Greater Tampa Bay Physician Specialists, LLC. The authorized official on file is William Tedrick Johnson, Vice President.
Overview
| NPI | 1225601560 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Greater Tampa Bay Physician Specialists, LLC |
| NPI issued | Jul 23, 2021 |
| Last updated in NPPES | Jul 23, 2021 |
| Certified by provider | Jul 23, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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