Anthony Roosevelt Washington III, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME118205 Issued in FL

Practice address

13608 W Hillsborough Ave
Tampa, FL 33635

Phone

(813) 749-0167

NPI assigned

Jul 1, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Group practices

St Mark Village IncGroup PAC ID 7618035304, shared by 2 NPIs, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Mark Village Nursing home, Palm Harbor, FL, CCN 105378

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://api.platform.athenahealth.com/14267/brand/6/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/EIJHAA
• FHIR API: https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4

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.

• Cogent Healthcare of Jacksonville, LLC

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1124252333

  Family Medicine

  Medicare reassignment NPD
• Curana Health of Florida LLC

  • Internal Medicine Physician
  • Coral Gables, FL
  • NPI 1013628676
  Medicare reassignment NPD
• Florida Hospital Physician Group Inc

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1174955256
  Medicare reassignment NPD
• Halifax Healthcare Systems Inc

  • Family Medicine Physician
  • Daytona Beach, FL
  • NPI 1245283530
  Medicare reassignment NPD
• Hni Medical Services of Florida, LLC

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1679048284

  Family Medicine

  Medicare reassignment NPD
• Premier Inpatient Partners LLC

  • Hospitalist Physician
  • Naples, FL
  • NPI 1568916492
  Medicare reassignment NPD
• Professional Health Care of Pinellas LLC

  • Internal Medicine Physician
  • St Petersburg, FL
  • NPI 1881647253

  Family Medicine

  Medicare reassignment NPD
• Sunshine Health Partners, LLC

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1710595640
  Medicare reassignment NPD
• Comprehensive Hospital Physicians of Florida Inc

  • Internal Medicine Physician
  • Brentwood, TN
  • NPI 1245960681

  FL

  Medicare reassignment NPD
• Curana Health of New Mexico LLC

  • Internal Medicine Physician
  • Espanola, NM
  • NPI 1598352015

  FL

  Medicare reassignment NPD
• Deerfield Beach Physician Services, LLC

  • Internal Medicine Physician
  • Tallahassee, FL
  • NPI 1366100364
  Medicare reassignment
• App of Florida HM, LLC

  • Hospitalist Physician
  • Milton, FL
  • NPI 1841772316
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Mark Village Inc

  • Skilled Nursing Facility
  • Palm Harbor, FL
  • NPI 1821182544

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1093002768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13608 W HILLSBOROUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336359638",
            "telephone_number": "813-749-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13608 W HILLSBOROUGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33635",
            "telephone_number": "813-749-0167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "559 Capitol Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551032101",
            "country_code": "US",
            "telephone_number": "651-326-2400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3908 Flatiron Loop Unit 101",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335447828",
            "country_code": "US",
            "telephone_number": "813-779-6303",
            "fax_number": "888-977-1998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 Medical Center Dr Ste 600",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "ME",
            "postal_code": "040112652",
            "country_code": "US",
            "telephone_number": "207-373-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "ANTHONY",
        "middle_name": "ROOSEVELT",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-01",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "64989",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "816-L",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD23047",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD0000058679",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME118205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Wasef, MD
• Lyndsey Leeann Wash, PA-C
• Jessica Washburn, DPT
• Howard Washing III, BS
• April Renee Washington-Fulp
• Danielle Washington
• Deidra Washington, IBCLC
• Emmanuel Lawrence Washington
• Gina Patrice Washington, MD
• Iman Washington, M.D.

• Family Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.