James R Tzivanis, RPA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9104839 Issued in FL

Practice address

5915 W Gulf to Lake Hwy
Crystal River, FL 34429-7565

Phone

(352) 794-3872

Fax

(352) 794-3876

NPI assigned

Aug 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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

• Precision Pulmonary NP, Inc.

  • Nurse Practitioner
  • Dunedin, FL
  • NPI 1811202054
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304985600000",
    "number": "1043326184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5672 W JUSTIN CT",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344481632",
            "telephone_number": "352-628-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5915 W GULF TO LAKE HWY",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344297565",
            "telephone_number": "352-794-3872",
            "fax_number": "352-794-3876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TZIVANIS",
        "first_name": "JAMES",
        "middle_name": "R",
        "credential": "RPA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2011-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "000469",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susana Trecu Bencomo
• Meghan E Trenary, APRN
• Tri County Medical Center LLC
• Triple Aim Medical Solutions, LLC
• Owen J Twiner, D.C.
• Ultimate Nursing Care LLC.
• Brandie Underwood
• Susan Arlene Vanwalker, ITDS
• VDC-Crystal River PA
• Vdccr,P.a.

• Physician Assistant in Crystal River, FL
• Providers in Crystal River, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; 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.