Cumedica Doctors Center

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CUMEDICA DOCTORS CENTER

Practice address

4618 N Armenia Ave
Tampa, FL 33603-2706

Phone

(813) 997-6042

NPI assigned

Apr 16, 2019

Organization subpart

No

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

Authorized official

Name

Mayra Lopez, MDNPI 1558568816

Title

Owner

Phone

(813) 509-8083

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mayra Lopez, M.D.

  • General Practice Physician
  • Tampa, FL
  • NPI 1558568816
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1093378101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8904 W HAMILTON AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336152726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4618 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336032706",
            "telephone_number": "813-997-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMEDICA DOCTORS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-16",
        "last_updated": "2020-10-15",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-509-8083",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103116700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lesli L. Culver, LCSW, CBIS, BCD
• Franka Vidya Cumberbatch-Hankton, LCSW
• Cumberland Pharmacy LLC
• Dominique A Cumbermack, BCBA
• Arianna C Cumbrera Fina
• Carrie Lee Cummings, PTA
• Holly Cummings
• Jason Cummings, MD
• Jeffrey Michael Cummings, M.D.
• Nicholas Allan Cummings, MD

• General Practice Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.