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BAYSHORE PODIATRY CENTER
NPI 1982688354
Podiatrist - Sports Medicine in Tampa, FL

Active since November 30, 2005
508 S HABANA AVE STE 230, TAMPA, FL 33609(813) 877-6636(813) 877-6610 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 27, 2020, Jul 19, 2020 (2 updates tracked since 2020).

About Bayshore Podiatry Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAYSHORE PODIATRY CENTER (NPI 1982688354) is a healthcare organization registered as a sports medicine in Tampa, Florida and active in the NPI registry since November 2005. The organization lists James Edward Repko, President, as its authorized official.

NPPES Registry Identity

NPI1982688354
Entity TypeOrganization
Primary Taxonomy213ES0000X
Legal Business NameBAYSHORE PODIATRY CENTER
Location Address508 S HABANA AVE STE 230Tampa, FL 33609-4161
Mailing Address508 S Habana Ave Ste 230Tampa, FL 33609-4161 · (813) 877-6636 · Fax (813) 877-6610
Phone(813) 877-6636
Fax(813) 877-6610
Organization SubpartNo
Authorized OfficialJames Edward RepkoPresident · (813) 877-6636
Enumeration DateNovember 30, 2005
Last NPPES UpdateOctober 23, 20242 updates tracked since enumeration
NPPES CertifiedOctober 23, 2024
✔ NPI 1982688354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPodiatrist · Sports MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0000X
Also ListedPodiatristTaxonomy 213E00000X · License P00001221 (FL)
Also ListedClinic/Center · PodiatricTaxonomy 261QP1100X
508 S HABANA AVE STE 230, Tampa, FL 33609
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Other Identifiers 1

Medicaid041093400FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SALEENA RUTH NIEHAUS D.P.M.
Podiatrist (Foot & Ankle Surgery)
508 S HABANA AVE STE 230
TAMPA, FL 33609
Hillsborough County (813) 877-6636
DR. JAMES EDWARD REPKO DPM
Podiatrist (Foot & Ankle Surgery)
508 S HABANA AVE STE 230
TAMPA, FL 33609
Hillsborough County (813) 877-6636

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bayshore Podiatry Center's NPI number?

The NPI number for Bayshore Podiatry Center is 1982688354. It was assigned to this organization in the NPPES registry on November 30, 2005.

Where is Bayshore Podiatry Center located?

Bayshore Podiatry Center is located at 508 S Habana Ave Ste 230, Tampa, FL 33609. The listed phone number is (813) 877-6636.

What is Bayshore Podiatry Center's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Sports Medicine, with taxonomy code 213ES0000X.

When was this NPI record last updated?

The NPPES record for Bayshore Podiatry Center was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.