Individual provider Active NPI

Emily Anne Devol, D.O

  • Surgery Physician
  • Tampa, FL
National Provider Identifier
1023461316
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
OS15040 Issued in FL
Practice address
303 S Westland Ave
Tampa, FL 33606-1745
Phone
(813) 419-2506
NPI assigned
Jul 21, 2016
Last updated
Dec 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X OS15040 FL Primary

Addresses

Primary practice location

303 S Westland Ave
Tampa, FL 33606-1745

Mailing address

303 S Westland Ave
Tampa, FL 33606-1745
Phone (813) 419-2506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Rowan University School of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7901 4TH St N
Suite 300
Saint Petersburg, FL 33702-4399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS15040FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renova Wound Institute LLC Surgery Current Accepting new patients
Hometown Ancillary Services LLC PastSince May 10, 2018 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: emily.devol.1@15171.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1023461316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S WESTLAND AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061745",
            "telephone_number": "813-419-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S WESTLAND AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061745",
            "telephone_number": "813-419-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVOL",
        "first_name": "EMILY",
        "middle_name": "ANNE",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-21",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "OS15040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.