Active NPI
Noel S Tenenbaum MD PA
- Plastic Surgery Physician
- Palm Harbor, FL
National Provider Identifier
1104155977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- ME64981
- Legal business name
- NOEL S TENENBAUM MD PA
- Practice address
- 220 Alt 19
Palm Harbor, FL 34683-5338 - Phone
- (727) 786-6921
- NPI assigned
- Dec 8, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Noel S Tenenbaum
- Title
- Owner
- Phone
- (727) 786-6921
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | ME64981 | FL | Primary |
Addresses
Primary practice location
220 Alt 19
Palm Harbor, FL 34683-5338
Mailing address
220 Alt 19
Palm Harbor, FL 34683-5338
Phone (727) 786-6921
National Provider Directory
National Provider DirectoryLocations
220 Alt 19
Palm Harbor, FL 34683
Phone (727) 786-6921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1260230400000",
"number": "1104155977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 ALT 19",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346835338",
"telephone_number": "727-786-6921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 ALT 19",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346835338",
"telephone_number": "727-786-6921"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOEL S TENENBAUM MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-08",
"last_updated": "2009-12-08",
"status": "A",
"authorized_official_last_name": "TENENBAUM",
"authorized_official_first_name": "NOEL",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "727-786-6921"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "FL",
"license": "ME64981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.