Individual provider Active NPI

Jamie E. McKenzie, MD

  • Hematology & Oncology Physician
  • Tampa, FL
National Provider Identifier
1104953546
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME148507 Issued in FL
Practice address
10740 Palm River Rd Ste 360
Tampa, FL 33619-4578
Phone
(813) 844-7585
Fax
(813) 844-5877
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 20282 NH
Hematology & Oncology Physician 207RH0003X 236446 MA
Hematology & Oncology Physician 207RH0003X MD22848 ME
Hematology & Oncology Physician 207RH0003X ME148507 FL Primary

Addresses

Primary practice location

10740 Palm River Rd Ste 360
Tampa, FL 33619-4578

Mailing address

1 Tampa General Cir
Tampa, FL 33606-3571
Phone (813) 844-7000

Other practice location 1

51 US Route 1 Ste I
Scarborough, ME 04074-7145
Phone (207) 303-3300

Other practice location 2

105 Topsham Fair Mall Rd Unit 1
Topsham, ME 04086-1773
Phone (207) 729-1148

Other practice location 3

2 Independence Dr
Kennebunk, ME 04043-6078
Phone (207) 303-3300

Other practice location 4

155 Borthwick Ave Ste C
Portsmouth, NH 03801-7156
Phone (603) 828-0100

Other practice location 5

100 Campus Dr Unit 108
Scarborough, ME 04074-7172
Phone (207) 303-3300

Other identifiers 1

IdentifierTypeStateIssuer
MD60326945OtherWASTATE LICENSE

Other names 1

  • Jamie E Potosek Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SD, OR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210827002580 FL Practitioner - Medical Oncology 1052567880 Reassigns benefits to 2 organizations
I20250912001936 SD Practitioner - Hematology/Oncology 1052567880 Reassigns benefits to 1 organization
I20250922003407 OR Practitioner - Hematology/Oncology 1052567880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Drexel University College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Health NetworkGroup PAC ID 6800707100, 357 clinicians

Practice addresses (Care Compare)

20 S Plum St
Vermillion, SD 57069-3346
Phone (605) 624-9111

2905 3Rd Ave SE
Aberdeen, SD 57401-5420
Phone (605) 626-4200

701 3Rd Ave S
Clear Lake, SD 57226-2016
Phone (605) 874-2141

Hospital & facility affiliations

  • Sanford Medical Center Aberdeen Hospital, Aberdeen, SD, CCN 430097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Center of South Florida PLLC CurrentSince Aug 16, 2021 Accepting new patients
Tampa General Medical Group Inc CurrentSince Jul 15, 2021 Accepting new patients
Tampa General Medical Group Inc CurrentSince Jul 15, 2021 Accepting new patients
Sanford Health Network CurrentSince Aug 25, 2025 Accepting new patients
Sanford Health Network CurrentSince Aug 25, 2025 Accepting new patients
Sanford Health Network Current Accepting new patients
Bay Area Hospital District CurrentSince Sep 15, 2025 Accepting new patients
Bay Area Hospital District CurrentSince Sep 15, 2025 Accepting new patients
Cancer Center of South Florida PLLC Hematology & Oncology CurrentSince Aug 16, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

Dept LA 25339
Pasadena, CA 91185

214 Morrison Rd
Ste 110
Brandon, FL 33511
Phone (800) 844-9302

3140 S Falkenburg Rd
Ste 301
Riverview, FL 33578
Phone (813) 844-4600

3140 S Falkenburg Rd
Riverview, FL 33578
Phone (813) 578-2844

10740 Palm River Rd
Ste 360
Tampa, FL 33619
Phone (813) 660-6400

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090

2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411

701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141

20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 11

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1104953546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TAMPA GENERAL CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063571",
            "telephone_number": "813-844-7000",
            "fax_number": "813-844-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10740 PALM RIVER RD STE 360",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336194578",
            "telephone_number": "813-844-7585",
            "fax_number": "813-844-5877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 US Route 1 Ste I",
            "address_purpose": "LOCATION",
            "city": "Scarborough",
            "state": "ME",
            "postal_code": "040747145",
            "country_code": "US",
            "telephone_number": "207-303-3300",
            "fax_number": "207-303-3016",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Topsham Fair Mall Rd Unit 1",
            "address_purpose": "LOCATION",
            "city": "Topsham",
            "state": "ME",
            "postal_code": "040861773",
            "country_code": "US",
            "telephone_number": "207-729-1148",
            "fax_number": "207-729-2789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Independence Dr",
            "address_purpose": "LOCATION",
            "city": "Kennebunk",
            "state": "ME",
            "postal_code": "040436078",
            "country_code": "US",
            "telephone_number": "207-303-3300",
            "fax_number": "207-250-2144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 Borthwick Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038017156",
            "country_code": "US",
            "telephone_number": "603-828-0100",
            "fax_number": "603-828-0111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Campus Dr Unit 108",
            "address_purpose": "LOCATION",
            "city": "Scarborough",
            "state": "ME",
            "postal_code": "040747172",
            "country_code": "US",
            "telephone_number": "207-303-3300",
            "fax_number": "207-250-2139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "JAMIE",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NH",
            "license": "20282",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MA",
            "license": "236446",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "ME",
            "license": "MD22848",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME148507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MD60326945",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "POTOSEK",
            "middle_name": "E",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.