Organization Active NPI

Eihab H Tawfik MD PA

  • Internal Medicine Physician
  • Crystal River, FL
National Provider Identifier
1184810384
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME93322 Issued in FL
Legal business name
EIHAB H TAWFIK MD PA
Practice address
7562 W. Gulf to Lake Highway
Crystal River, FL 34429
Phone
(352) 564-0444
Fax
(352) 564-4222
NPI assigned
Sep 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Authorized official

Name
Dr. Eihab H Tawfik, MD
Title
Owner
Phone
(352) 564-0444

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X FLME93322 FL
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X ME93322 FL Primary

Addresses

Primary practice location

7562 W. Gulf to Lake Highway
Crystal River, FL 34429

Mailing address

7394 W Gulf to Lake Hwy
Crystal River, FL 34429-7802
Phone (352) 564-0444

Other identifiers 4

IdentifierTypeStateIssuer
010336101MedicaidFL
010336100MedicaidFL
010336103MedicaidFL
010336102MedicaidFL

National Provider Directory

National Provider Directory

Locations

654 SE Fort Island Trl
Crystal River, FL 34429

7364 W Gulf to LK Hwy
Crystal River, FL 34429

1194 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 686-3127

10089 Cortez Blvd
#91
Weeki Wachee, FL 34613
Phone (352) 397-2099

10089 Cortez Blvd
Ste 91
Weeki Wachee, FL 34613

411 W New England Ave
Unit 3
Winter Park, FL 32789

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1184810384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7394 W GULF TO LAKE HWY",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344297802",
            "telephone_number": "352-564-0444",
            "fax_number": "352-564-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7562 W. GULF TO LAKE HIGHWAY",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "34429",
            "telephone_number": "352-564-0444",
            "fax_number": "352-564-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EIHAB H TAWFIK MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "TAWFIK",
        "authorized_official_first_name": "EIHAB",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-564-0444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "FLME93322",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME93322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010336101",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010336100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010336103",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010336102",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.