Individual provider Active NPI

Tamara L. Densmore, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Venice, FL
National Provider Identifier
1144202250
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
ME75341 Issued in FL
Practice address
446 Tamiami TRL S
2ND Floor
Venice, FL 34285-2625
Phone
(941) 483-3319
Fax
(941) 483-3406
NPI assigned
Nov 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X ME75341 FL
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME75341 FL Primary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X ME75341 FL

Addresses

Primary practice location

446 Tamiami TRL S
2ND Floor
Venice, FL 34285-2625

Mailing address

446 Tamiami TRL S
2ND Floor
Venice, FL 34285-2625
Phone (941) 483-3319

Other identifiers 1

IdentifierTypeStateIssuer
25603480MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Suncoast Pathology Cytopathology CurrentSince Feb 1, 1995 Accepting new patients

Locations

446 Tamiami Trl S
Fl 2
Venice, FL 34285
Phone (941) 483-3319

446 Tamiami Trl S
Venice, FL 34285

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1144202250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 TAMIAMI TRL S",
            "address_2": "2ND FLOOR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852625",
            "telephone_number": "941-483-3319",
            "fax_number": "941-483-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 TAMIAMI TRL S",
            "address_2": "2ND FLOOR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852625",
            "telephone_number": "941-483-3319",
            "fax_number": "941-483-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENSMORE",
        "first_name": "TAMARA",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "FL",
            "license": "ME75341",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME75341",
            "primary": true
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "FL",
            "license": "ME75341",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25603480",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; 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.