Individual provider Active NPI

Edgard Janer, M.D., P.A.

  • Specialist
  • Tampa, FL
National Provider Identifier
1154353555
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0065277 Issued in FL
Practice address
3355 W Bearss Ave
Tampa, FL 33618-2100
Phone
(813) 962-4339
Fax
(813) 962-3278
NPI assigned
Jul 7, 2006
Last updated
Feb 6, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0065277 FL Primary

Addresses

Primary practice location

3355 W Bearss Ave
Tampa, FL 33618-2100

Mailing address

3355 W Bearss Ave
Tampa, FL 33618-2100
Phone (813) 962-4339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20091029000081 FL Practitioner - RheumatologyPractitioner - Internal Medicine 5597802272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
University of Puerto Rico School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3355 W Bearss Ave
Tampa, FL 33618-2100
Phone (813) 962-4119

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0065277FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Edgard Janer MD PA CurrentSince Jun 1, 2009 Accepting new patients
Adk Medical Supply, LLC Past Accepting new patients
Optumcare Florida, LLC Past Accepting new patients
Nannette Diaz DPM PA Past Accepting new patients

Locations

3355 W Bearss Ave
Tampa, FL 33618
Phone (813) 443-4549

3411 W Fletcher Ave
#A
Tampa, FL 33618
Phone (813) 962-4119

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1154353555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 W BEARSS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182100",
            "telephone_number": "813-962-4339",
            "fax_number": "813-962-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 W BEARSS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182100",
            "telephone_number": "813-962-4339",
            "fax_number": "813-962-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANER",
        "first_name": "EDGARD",
        "name_prefix": "Dr.",
        "credential": "M.D., P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "0065277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.