Active NPI
Peter Arthur Jarvis, M.D.
- Surgery Physician
- Tampa, FL
National Provider Identifier
1174519946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 19346
- Practice address
- 12880 Commodity PL
Tampa, FL 33626-3101 - Phone
- (813) 343-5500
- Fax
- (813) 343-5506
- NPI assigned
- Sep 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 19346 | CT | Primary |
Addresses
Primary practice location
12880 Commodity PL
Tampa, FL 33626-3101
Mailing address
PO Box 21724
Tampa, FL 33622-1724
Phone (813) 343-5500
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19346 | CT | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255478400000",
"number": "1174519946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21724",
"city": "TAMPA",
"state": "FL",
"postal_code": "336221724",
"telephone_number": "813-343-5500",
"fax_number": "813-343-5506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12880 COMMODITY PL",
"city": "TAMPA",
"state": "FL",
"postal_code": "336263101",
"telephone_number": "813-343-5500",
"fax_number": "813-343-5506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARVIS",
"first_name": "PETER",
"middle_name": "ARTHUR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-27",
"last_updated": "2009-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CT",
"license": "19346",
"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 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.