Active NPI
James Fanning, D.O.
- Gynecologic Oncology Physician
- Tampa, FL
National Provider Identifier
1366419418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- OS15508
- Practice address
- 5016 W Cypress St Ste 200a
Tampa, FL 33607 - Phone
- (813) 530-4592
- Fax
- (813) 392-1930
- NPI assigned
- Mar 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | 34.005939F | OH | |
| Gynecologic Oncology Physician | 207VX0201X | TL36735 | SC | |
| Gynecologic Oncology Physician | 207VX0201X | 02004699A | IN | |
| Gynecologic Oncology Physician | 207VX0201X | OS15508 | FL | Primary |
Addresses
Primary practice location
5016 W Cypress St Ste 200a
Tampa, FL 33607
Mailing address
PO Box 25317
Tampa, FL 33622-5317
Phone (813) 286-0033
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0974941 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.005939F | OH | MD | Gynecologic Oncology Physician |
| TL36735 | SC | MD | Gynecologic Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women'S Care Florida LLC | Current | Accepting new patients | |
| Womens' Health Hospitalists, LLC | Current | Accepting new patients | |
| Summa Physicians LLC | Past | Accepting new patients | |
| University of Toledo Physicians LLC | Past | Accepting new patients | |
| The Milton S. Hershey Medical Center Physicians Group | Gynecologic Oncology | Past | Accepting new patients |
Locations
4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333
2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551
5016 W Cypress St
Ste 200A
Tampa, FL 33607
Phone (813) 530-4592
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.
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1013902923
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1205295599
-
- Geriatric Medicine (Internal Medicine) Physician
- Uniontown, OH
- NPI 1457662769
-
- Gynecologic Oncology Physician
- Hershey, PA
- NPI 1285609677
-
- Internal Medicine Physician
- Toledo, OH
- NPI 1942296033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533859200000",
"number": "1366419418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25317",
"city": "TAMPA",
"state": "FL",
"postal_code": "336225317",
"telephone_number": "813-286-0033",
"fax_number": "813-282-1806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5016 W CYPRESS ST STE 200A",
"city": "TAMPA",
"state": "FL",
"postal_code": "33607",
"telephone_number": "813-530-4592",
"fax_number": "813-392-1930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANNING",
"first_name": "JAMES",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-07",
"last_updated": "2018-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "OH",
"license": "34.005939F",
"primary": false
},
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "SC",
"license": "TL36735",
"primary": false
},
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "IN",
"license": "02004699A",
"primary": false
},
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "FL",
"license": "OS15508",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0974941",
"state": "OH"
}
],
"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 Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.