Organization Active NPI

Noel S Tenenbaum MD PA

  • Plastic Surgery Physician
  • Palm Harbor, FL
National Provider Identifier
1104155977
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME64981 Issued in FL
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

Updated by the provider on Dec 8, 2009

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)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.