Organization Active NPI

Doctor Doctor on-Call

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1265248579
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DOCTOR DOCTOR ON-CALL
Practice address
2314 E 22ND Ave
Tampa, FL 33605-2067
Phone
(813) 597-1758
Fax
(813) 706-6612
NPI assigned
Dec 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Authorized official

Name
Dr. Henria M Fain, MD, DPT, ATCNPI 1487836680
Title
Owner
Phone
(813) 743-4383

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

2314 E 22ND Ave
Tampa, FL 33605-2067

Mailing address

PO Box 75496
Tampa, FL 33675-0496
Phone (813) 597-1758

Other identifiers 1

IdentifierTypeStateIssuer
121064700MedicaidFL

Other names 1

  • Henria M. Fain M.D. Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1265248579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75496",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336750496",
            "telephone_number": "813-597-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 E 22ND AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336052067",
            "telephone_number": "813-597-1758",
            "fax_number": "813-706-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR DOCTOR ON-CALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "FAIN",
        "authorized_official_first_name": "HENRIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-743-4383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, DPT, ATC"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121064700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henria M. Fain M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 10, 2024; 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.