Organization Active NPI

Novelle D T Kirwan MD PA

  • Urology Physician
  • Tampa, FL
National Provider Identifier
1356415764
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
NOVELLE D T KIRWAN MD PA
Practice address
4801 N Howard Ave
Tampa, FL 33603-1411
Phone
(813) 681-0282
Fax
(813) 936-9318
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Authorized official

Name
Dr. Novelle D T Kirwan, MD
Title
Physician
Phone
(813) 681-0282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X FL Primary

Addresses

Primary practice location

4801 N Howard Ave
Tampa, FL 33603-1411

Mailing address

PO Box 151167
Tampa, FL 33684-1167
Phone (813) 681-0282

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1356415764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151167",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336841167",
            "telephone_number": "813-681-0282",
            "fax_number": "813-936-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 N HOWARD AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031411",
            "telephone_number": "813-681-0282",
            "fax_number": "813-936-9318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVELLE D T KIRWAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "KIRWAN",
        "authorized_official_first_name": "NOVELLE",
        "authorized_official_middle_name": "D T",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "813-681-0282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "FL",
            "license": null,
            "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 Jun 23, 2016; 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.