Edwin K House, MD

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

ME9793 Issued in FL

Legal business name

EDWIN K HOUSE, MD

Practice address

22163 Croom Rd
Brooksville, FL 34601-4852

Phone

(352) 796-9241

NPI assigned

Nov 30, 2015

Organization subpart

No

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

Authorized official

Name

Edwin Keenan House, MDNPI 1235131053

Title

Owner

Phone

(352) 796-9241

Specialties & licenses 1

Addresses

Practitioners 1

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

• Edwin Keenan House, M.D.

  • Family Medicine Physician
  • Brooksville, FL
  • NPI 1235131053
  NPD (past) Authorized official

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

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448841600000",
    "number": "1265806319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22163 CROOM RD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346014852",
            "telephone_number": "352-796-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22163 CROOM RD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346014852",
            "telephone_number": "352-796-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWIN K HOUSE, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-30",
        "last_updated": "2015-11-30",
        "status": "A",
        "authorized_official_last_name": "HOUSE",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "KEENAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-796-9241",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "ME9793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.