NPIMap

Organization Active NPI

Fanourios I. Ferderigos, M.D., P.a.

  • Orthopaedic Surgery Physician
  • Palm Harbor, FL
National Provider Identifier
1225338510
Registry record updated Jun 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME0040703 Issued in FL
Legal business name
FANOURIOS I. FERDERIGOS, M.D., P.A.
Practice address
2626 Tampa Rd
Suite 103
Palm Harbor, FL 34684-3155
Phone
(727) 789-3300
Fax
(727) 787-3454
NPI assigned
Nov 2, 2010
Last updated
Jun 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2015

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

Authorized official

Name
Dr. Fanourios I. Ferderigos, M.D.NPI 1235120122
Title
President
Phone
(727) 789-3300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME0040703 FL Primary

Addresses

Primary practice location

2626 Tampa Rd
Suite 103
Palm Harbor, FL 34684-3155

Mailing address

2626 Tampa Rd
Suite 103
Palm Harbor, FL 34684-3155
Phone (727) 789-3300

Other identifiers 2

IdentifierTypeStateIssuer
220139000OtherFLFEDERAL WORKERS COMP PROV
GC512AOtherFLMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

2626 Tampa Rd
Ste 103
Palm Harbor, FL 34684
Phone (727) 789-3300

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435276800000",
    "number": "1225338510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 TAMPA RD",
            "address_2": "SUITE 103",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843155",
            "telephone_number": "727-789-3300",
            "fax_number": "727-787-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 TAMPA RD",
            "address_2": "SUITE 103",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843155",
            "telephone_number": "727-789-3300",
            "fax_number": "727-787-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANOURIOS I. FERDERIGOS, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2015-06-26",
        "status": "A",
        "authorized_official_last_name": "FERDERIGOS",
        "authorized_official_first_name": "FANOURIOS",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-789-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME0040703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL WORKERS COMP PROV",
            "identifier": "220139000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "GC512A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.