Individual provider Active NPI

Kristen G Marsonek, M.D.

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1306147616
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME108188 Issued in FL
Practice address
7001 N Dale Mabry Hwy
Suite 2
Tampa, FL 33614-3910
Phone
(813) 915-5626
Fax
(813) 915-5634
NPI assigned
Nov 3, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME108188 FL Primary

Addresses

Primary practice location

7001 N Dale Mabry Hwy
Suite 2
Tampa, FL 33614-3910

Mailing address

7001 N Dale Mabry Hwy
Suite 2
Tampa, FL 33614-3910
Phone (813) 915-5626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101222000944 FL Practitioner - Family Practice 9032307673 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
KND Development 59, LLC CurrentSince Nov 26, 2012 Accepting new patients
KND Development 59 LLC CurrentSince Nov 26, 2012 Accepting new patients
KND Development 59 LLC Current Accepting new patients
Family Medical Centers of Tampa Bay PA Family Medicine CurrentSince Aug 7, 2012 Accepting new patients
Florida Hospital Physician Group Inc Family Medicine CurrentSince Feb 17, 2014 Accepting new patients

Locations

3030 6th St S
St Petersburg, FL 33705
Phone (727) 894-8719

15511 N Florida Ave
Ste D
Tampa, FL 33613
Phone (813) 908-8700

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

15511 N Florida Ave
Ste A
Tampa, FL 33613
Phone (813) 265-1717

14310 N Dale Mabry Hwy
Ste 300
Tampa, FL 33618
Phone (813) 968-7127

15511 N Florida Ave
#411
Tampa, FL 33613
Phone (813) 963-3124

7001 N Dale Mabry Hwy
Ste 2
Tampa, FL 33614
Phone (813) 252-9849

15511 N Florida Ave
#D
Tampa, FL 33613

2700 Healing Way
Ste 320
Wesley Chapel, FL 33543
Phone (813) 929-5470

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397088000000",
    "number": "1306147616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 N DALE MABRY HWY",
            "address_2": "SUITE 2",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143910",
            "telephone_number": "813-915-5626",
            "fax_number": "813-915-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 N DALE MABRY HWY",
            "address_2": "SUITE 2",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143910",
            "telephone_number": "813-915-5626",
            "fax_number": "813-915-5634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSONEK",
        "first_name": "KRISTEN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-03",
        "last_updated": "2014-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME108188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.