TAMPA BAY OPEN MRI (TAMPA) (NPI# 1962586628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962586628 |
| Entity Type | Organization |
| Organization Name | TAMPA BAY OPEN MRI (TAMPA) |
| Other Organization Name | SIEGFRIED K HOLZ MD PA |
| Practice Address |
15511 N Florida Ave Tampa FL 33613-1263 |
| Mailing Address |
3830 S Florida Ave Lakeland FL 33813-1105 |
| Practice Telephone | 8636468955 |
| Mailing Telephone | 8132698722 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SIEGFRIED K HOLZ (PRESIDENT) |
| Authorized Official Telephone | 8636468955 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME40704 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BC/BS | V2923 | 01 |
| FL | AETNA | 2376434 | 01 |
| Other Name | Type Code |
|---|---|
| SIEGFRIED K HOLZ MD PA | Other Name - Individual/Organization |
| Street Address |
15511 N FLORIDA AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33613-1263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922046846 | Family Medical Centers of Tampa Bay Pa | Family Medicine | 15511 N Florida Ave, Suite 401, Tampa, FL 33613-1220 | 2006-06-03 |
| 1699217190 | Your Best You, P.a. | Clinic/Center | 15511 N Florida Ave, Suite 502, Tampa, FL 33613-1263 | 2016-11-15 |
| 1245693530 | Your Best You, P.a. | Registered Nurse | 15511 N Florida Ave, Suite 502, Tampa, FL 33613-1263 | 2016-04-04 |
| 1306230180 | Jemma B Sinclaire | Chiropractor | 15511 N Florida Ave, Suite 2 and 3, Tampa, FL 33613-1263 | 2015-03-19 |
| 1174943237 | Dema Abdelmajid | Nurse Practitioner | 15511 N Florida Ave, Ste. 401, Tampa, FL 33613-1263 | 2014-04-16 |
| 1447671425 | Jessica Dorey Walker | Nurse Practitioner | 15511 N Florida Ave, Tampa, FL 33613 | 2013-12-18 |
| 1225313000 | Summit Health Specialists, P.l. | Radiology | 15511 N Florida Ave, Suite B3, Tampa, FL 33613-1263 | 2011-10-12 |
| 1487961819 | Viral Patel | Pharmacist | 15511 N Florida Ave, Suite C-2, Tampa, FL 33613-1263 | 2010-09-07 |
| 1598071094 | Patient Directed Care, Inc. | Health Maintenance Organization | 15511 N Florida Ave, Suite D, Tampa, FL 33613-1263 | 2010-08-23 |
| 1174781769 | Mark G Leitner Dpm Pa | Podiatrist | 15511 N Florida Ave, Suite B2, Tampa, FL 33613-1263 | 2008-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649877671 | Lisandra Isabelle Raba | Behavior Technician | 3299 Usf Banyan Circle, Tampa, FL 33613 | 2020-10-02 |
| 1184250490 | Stetho Md LLC | Family Medicine | 1707 E Bearss Ave, Tampa, FL 33613 | 2020-03-18 |
| 1174187645 | Renee Pinheiro | Student in an Organized Health Care Education/Training Program | Usf Health Morsani College of Medicine, 12901 Bruce B Downs Blvd. Mdc5, Tampa, FL 33613 | 2019-04-30 |
| 1104388842 | Heartbeat Home Health Care LLC | Home Health | 13542 N Florida Ave Ste 209-b, Tampa, FL 33613 | 2019-04-02 |
| 1437625357 | Carierx LLC | Pharmacy | 15511 N. Florida Avenue, Ste 601, Tampa, FL 33613 | 2018-10-18 |
| 1205312980 | Sabina Vlaeva | Dentist | Affordable Dentures & Implants, 14936 N Florida Avenue Ste 101, Tampa, FL 33613 | 2018-07-16 |
| 1780170266 | Joy M. Alexander | Driver | 14209 Cyber Pl Apt 102, Tampa, FL 33613 | 2018-07-08 |
| 1598289829 | Lillian Perez | Social Worker | 13542 N Florida Avenue, Suite 210, Tampa, FL 33613 | 2017-07-28 |
| 1134640386 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3100 E Fletcher Ave Ste A165, Tampa, FL 33613 | 2017-06-28 |
| 1770016099 | Marcus Bruno | Physician Assistant | 13701 Bruce B Downs Blvd., Tampa, FL 33613 | 2017-04-04 |
| Find all providers in zip 33613 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861852709 | Suchithra Hirode Ph D LLC | Specialist | 9643 Gretna Green Drive, Tampa, FL 33626 | 2016-03-04 |
| 1134588247 | Andrew Morath | Specialist | 2402 S 68th St, Tampa, FL 33619-5822 | 2016-02-17 |
| 1023412319 | Total Md Orthopedics & Neurosurgery LLC | Specialist | 2700 W Martin Luther King Jr Blvd, Suite 250, Tampa, FL 33607-6383 | 2014-10-15 |
| 1700206000 | Diane Murray | Specialist | 13803 N Florida Ave, Tampa, FL 33613-3230 | 2014-04-24 |
| 1043652357 | Christina Maria Potter | Specialist | 97 Davis Blvd, Unit B, Tampa, FL 33606-4404 | 2013-07-28 |
| 1063851384 | Julia Ruth Undella | Specialist | 7402 Park Dr, Tampa, FL 33610-1060 | 2013-06-19 |
| 1043658545 | Roshni Patel | Specialist | 13441 Canopy Creek Dr, Tampa, FL 33625-5915 | 2013-06-06 |
| 1417293457 | Chambers Medical Group | Specialist | 1802 E Busch Blvd, Tampa, FL 33612-8664 | 2012-12-19 |
| 1205188430 | Shea Speights | Specialist | 103 W Hamilton Ave, Tampa, FL 33604-5420 | 2012-10-11 |
| 1700158847 | Tracy Lashun Williams | Specialist | 18110 Palm Beach Drive, Tampa, FL 33647 | 2012-02-06 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.