Organization Active NPI

David L Joseph MD PA

  • Nephrology Physician
  • Tampa, FL
National Provider Identifier
1114085172
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME85229 Issued in FL
Legal business name
DAVID L JOSEPH MD PA
Practice address
3500 E Fletcher Ave
Suite 218
Tampa, FL 33613-4708
Phone
(813) 910-8708
Fax
(813) 910-7386
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
David L Joseph, M.D.
Title
President
Phone
(813) 910-8708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X ME85229 FL Primary

Addresses

Primary practice location

3500 E Fletcher Ave
Suite 218
Tampa, FL 33613-4708

Mailing address

3500 E Fletcher Ave
Suite 218
Tampa, FL 33613-4708
Phone (813) 910-8708

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1114085172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 E FLETCHER AVE",
            "address_2": "SUITE 218",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134708",
            "telephone_number": "813-910-8708",
            "fax_number": "813-910-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 E FLETCHER AVE",
            "address_2": "SUITE 218",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134708",
            "telephone_number": "813-910-8708",
            "fax_number": "813-910-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L JOSEPH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-910-8708",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME85229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.