Active NPI
James R. Homan, D.O.
- Family Medicine Physician
- Tampa, FL
National Provider Identifier
1346354768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0S3261
- Practice address
- 4212 S Manhattan Ave
Tampa, FL 33611-1302 - Phone
- (813) 837-8591
- Fax
- (813) 839-6832
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- 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 | 0S3261 | FL | Primary |
Addresses
Primary practice location
4212 S Manhattan Ave
Tampa, FL 33611-1302
Mailing address
4212 S Manhattan Ave
Tampa, FL 33611-1302
Phone (813) 837-8591
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0S3261 | FL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346354768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4212 S MANHATTAN AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336111302",
"telephone_number": "813-837-8591",
"fax_number": "813-839-6832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4212 S MANHATTAN AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336111302",
"telephone_number": "813-837-8591",
"fax_number": "813-839-6832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOMAN",
"first_name": "JAMES",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "0S3261",
"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 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.