Organization Active NPI

Nicolas Pavouris M D P a

  • Family Medicine Physician
  • Tarpon Springs, FL
National Provider Identifier
1215013867
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME77322 Issued in FL
Legal business name
NICOLAS PAVOURIS M D P A
Practice address
1200 S Pinellas Ave
10
Tarpon Springs, FL 34689-3728
Phone
(727) 942-8900
Fax
(727) 942-8989
NPI assigned
Oct 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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

Authorized official

Name
Dr. Nicolas Pavouris, M.D.
Title
Ceo
Phone
(727) 942-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME77322 FL Primary

Addresses

Primary practice location

1200 S Pinellas Ave
10
Tarpon Springs, FL 34689-3728

Mailing address

1200 S Pinellas Ave
10
Tarpon Springs, FL 34689-3728
Phone (727) 942-8900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363046400000",
    "number": "1215013867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S PINELLAS AVE",
            "address_2": "10",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346893728",
            "telephone_number": "727-942-8900",
            "fax_number": "727-942-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S PINELLAS AVE",
            "address_2": "10",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346893728",
            "telephone_number": "727-942-8900",
            "fax_number": "727-942-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLAS PAVOURIS M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2013-03-12",
        "status": "A",
        "authorized_official_last_name": "PAVOURIS",
        "authorized_official_first_name": "NICOLAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-942-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME77322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarpon Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.