Greater Tampa Bay Physician Specialists, LLC
NPI 1528492287ActiveOrganization· Surgery· Tampa, FL
Surgery in Tampa, Florida, registered in NPPES in August 2013. The authorized official on file is William Tederick Johnson, Group Vice President/Ao. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1528492287 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 29, 2013 |
| Last updated in NPPES | Oct 15, 2020 |
| Certified by provider | Oct 15, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
| Surgery, Vascular Surgery | 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) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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