Individual provider Active NPI

Sanford Norman Plevin, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Palm Harbor, FL
National Provider Identifier
1336147362
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME16355 Issued in FL
Practice address
3890 Tampa Rd
Suite 301
Palm Harbor, FL 34684-3676
Phone
(727) 784-2424
Fax
(727) 784-4723
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME16355 FL Primary

Addresses

Primary practice location

3890 Tampa Rd
Suite 301
Palm Harbor, FL 34684-3676

Mailing address

3890 Tampa Rd
Suite 301
Palm Harbor, FL 34684-3676
Phone (727) 784-2424

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME16355FLMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bowman & Hampsey Medical Clinic, Inc PastSince Jul 1, 2016 Accepting new patients
Dr Sanford Plevin MD PL Endocrinology, Diabetes & Metabolism PastSince Dec 1, 2005 Accepting new patients
Bowman & Hampsey Mdspa Past Accepting new patients
Advanced Diabetes Treatment Centers LLC Endocrinology, Diabetes & Metabolism Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/967/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336147362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 TAMPA RD",
            "address_2": "SUITE 301",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843676",
            "telephone_number": "727-784-2424",
            "fax_number": "727-784-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 TAMPA RD",
            "address_2": "SUITE 301",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843676",
            "telephone_number": "727-784-2424",
            "fax_number": "727-784-4723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLEVIN",
        "first_name": "SANFORD",
        "middle_name": "NORMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME16355",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 8, 2007; 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.