Active NPI
Holly Wanda Pomeranz, DO
- Family Medicine Physician
- Tampa, FL
National Provider Identifier
1275201154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS5293
- Practice address
- 5100 Burchette Rd Unit 306
Tampa, FL 33647-1054 - Phone
- (561) 758-7358
- NPI assigned
- Sep 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS5293 | FL | Primary |
Addresses
Primary practice location
5100 Burchette Rd Unit 306
Tampa, FL 33647-1054
Mailing address
5100 Burchette Rd Unit 306
Tampa, FL 33647-1054
Phone (561) 758-7358
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS5293 | FL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630627200000",
"number": "1275201154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 BURCHETTE RD UNIT 306",
"city": "TAMPA",
"state": "FL",
"postal_code": "336471054",
"telephone_number": "561-758-7358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 BURCHETTE RD UNIT 306",
"city": "TAMPA",
"state": "FL",
"postal_code": "336471054",
"telephone_number": "561-758-7358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POMERANZ",
"first_name": "HOLLY",
"middle_name": "WANDA",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-03",
"last_updated": "2021-09-03",
"certification_date": "2021-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS5293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.