Vincent E C Kiesel MD PA

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

ME36082 Issued in FL

Legal business name

VINCENT E C KIESEL MD PA

Practice address

1200 S Pinellas Ave
Suite 1
Tarpon Springs, FL 34689-3728

Phone

(727) 938-1581

Fax

(727) 938-1583

NPI assigned

Mar 12, 2008

Last updated

Sep 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vincent E C Kiesel, MD

Title

Owner

Phone

(727) 938-1581

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1194996603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S PINELLAS AVE",
            "address_2": "SUITE 1",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346893728",
            "telephone_number": "727-938-1581",
            "fax_number": "727-938-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S PINELLAS AVE",
            "address_2": "SUITE 1",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346893728",
            "telephone_number": "727-938-1581",
            "fax_number": "727-938-1583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT E C KIESEL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "KIESEL",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "E C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-938-1581",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": "ME36082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen J Vega, COTA
• Carmelo Velasco
• Kristen Velett, M.S. OTR/L
• Jeheila Rhoxanne Briones Villaflor
• Nicolas Pablo Villanustre, M.D.
• Volunteers of America of Florida, Inc
• Georgia My Vong, CRNA
• Allyson Wade
• Wal-Mart Stores East LP (Walmart Pharmacy 10-3415)
• Walgreen Co (Walgreens #06541)

• Sports Medicine (Orthopaedic Surgery) Physician in Tarpon Springs, FL
• Providers in Tarpon Springs, FL by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.