Individual provider Active NPI

Harvey N Esrov, MD

  • Diagnostic Radiology Physician
  • Brooksville, FL
National Provider Identifier
1043200538
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D0020505 Issued in MD
Practice address
11375 Cortez Blvd
Brooksville, FL 34613-5409
Phone
(813) 920-5200
Fax
(813) 920-5228
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D0020505 MD Primary

Addresses

Primary practice location

11375 Cortez Blvd
Brooksville, FL 34613-5409

Mailing address

2540 Green Forest LN Ste 101
Lutz, FL 33558-5388
Phone (813) 920-5200

Other practice location 1

2540 Green Forest Ln Ste 101
Lutz, FL 33558-5388
Phone (813) 920-5200

Other practice location 2

14001 NW 82nd Ave
Miami Lakes, FL 33016-1561
Phone (813) 920-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0020505MDMDDiagnostic Radiology Physician

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1043200538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 GREEN FOREST LN STE 101",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335585388",
            "telephone_number": "813-920-5200",
            "fax_number": "813-920-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11375 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135409",
            "telephone_number": "813-920-5200",
            "fax_number": "813-920-5228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2540 Green Forest Ln Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lutz",
            "state": "FL",
            "postal_code": "335585388",
            "country_code": "US",
            "telephone_number": "813-920-5200",
            "fax_number": "813-920-5228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14001 NW 82nd Ave",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330161561",
            "country_code": "US",
            "telephone_number": "813-920-5200",
            "fax_number": "813-920-5228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESROV",
        "first_name": "HARVEY",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0020505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.