Active NPI
Mary Coleen Pinder-Schenck, M.D.
- Medical Oncology Physician
- Tampa, FL
National Provider Identifier
1073716403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- ME104062
- Practice address
- 12902 Magnolia Drive
Tampa, FL 33612 - Phone
- (813) 745-2826
- Fax
- (813) 745-3027
- NPI assigned
- Jun 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | BP10021806 | TX | |
| Medical Oncology Physician | 207RX0202X | ME104062 | FL | Primary |
Addresses
Primary practice location
12902 Magnolia Drive
Tampa, FL 33612
Mailing address
12902 Magnolia Drive
Fob-Thorprog
Tampa, FL 33612
Phone (813) 745-7640
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| US9706079 | Other | WA | AETNA PCP PIN |
| P00460205 | Other | WA | RAILROAD MC # |
| 1749PI | Other | WA | BLUE SHIELD # |
Other names 1
- Mary Colleen Pinder
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10021806 | TX | MD | Medical Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395792000000",
"number": "1073716403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12902 MAGNOLIA DRIVE",
"address_2": "FOB-THORPROG",
"city": "TAMPA",
"state": "FL",
"postal_code": "33612",
"telephone_number": "813-745-7640",
"fax_number": "813-745-3027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12902 MAGNOLIA DRIVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "33612",
"telephone_number": "813-745-2826",
"fax_number": "813-745-3027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINDER-SCHENCK",
"first_name": "MARY",
"middle_name": "COLEEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-05",
"last_updated": "2014-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "TX",
"license": "BP10021806",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "FL",
"license": "ME104062",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PCP PIN",
"identifier": "US9706079",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MC #",
"identifier": "P00460205",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD #",
"identifier": "1749PI",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "PINDER",
"middle_name": "COLLEEN",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.