Tamer M Elfallal, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11006946 Issued in FL

Practice address

500 E Central Ave
Winter Haven, FL 33880-3094

Phone

(863) 293-1191

NPI assigned

Sep 25, 2019

Last updated

Aug 10, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tamer.elfallal.p1@direct.bondclinicpa.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bond Clinic PA

  • Internal Medicine Physician
  • Winter Haven, FL
  • NPI 1881639193
  Medicare reassignment NPD
• Canton Urgent Care Walk-in Clinic PC

  • Urgent Care Clinic/Center
  • Canton, MI
  • NPI 1649712480
  Medicare reassignment NPD
• Chesterfield Urgent Care Walk-in Clinic

  • Urgent Care Clinic/Center
  • Chesterfield, MI
  • NPI 1629547195
  Medicare reassignment NPD
• Clinton Urgent Care Walk-in Clinic

  • Family Medicine Physician
  • Clinton Township, MI
  • NPI 1831610070
  Medicare reassignment NPD
• Commerce Urgent Care Walk-in Clinic

  • Urgent Care Clinic/Center
  • Commerce TWP, MI
  • NPI 1952823825
  Medicare reassignment NPD
• Doctors Urgent Care Southfield

  • Urgent Care Clinic/Center
  • Southfield, MI
  • NPI 1326660929
  Medicare reassignment NPD
• Rochester Urgent Care Walk-in Clinic

  • Urgent Care Clinic/Center
  • Rochester Hills, MI
  • NPI 1225554694
  Medicare reassignment NPD
• Shelby Urgent Care Walk-in Clinic

  • Family Medicine Physician
  • Shelby TWP, MI
  • NPI 1285155119
  Medicare reassignment NPD
• Sterling Heights Urgent Care Walk-in Clinic

  • Urgent Care Clinic/Center
  • Sterling Heights, MI
  • NPI 1912413949
  Medicare reassignment NPD
• Taylor Urgent Care PC

  • Urgent Care Clinic/Center
  • Taylor, MI
  • NPI 1013321033
  Medicare reassignment NPD
• Troy Urgent Care Walk-in Clinic

  • Urgent Care Clinic/Center
  • Troy, MI
  • NPI 1720571227
  Medicare reassignment NPD
• Best Urgent Care PC

  • Urgent Care Clinic/Center
  • Redford, MI
  • NPI 1952791105
  Medicare reassignment

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1144871773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E CENTRAL AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803094",
            "telephone_number": "863-293-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E CENTRAL AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803094",
            "telephone_number": "863-293-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELFALLAL",
        "first_name": "TAMER",
        "middle_name": "M",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-25",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704319616",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11006946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marguerite Edwards, ARNP
• Tracy Lee Eilers, APRN-C
• Ahmad El-Far, M.D.
• Ela M. Torres-Moore, D.M.D. P.a.
• Mohammad A Eldeeb, MD
• Michelle Renee Elie, ARNP
• Elite Health - Winter Haven LLC
• Elite Innovations, LLC (Stellar Transport)
• Julie Deanna Elliott, ARNP
• Cynthia L. Elmore, LMHC

• Family Nurse Practitioner in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.