Eastlake Medical Center PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0064536 Issued in FL

Legal business name

EASTLAKE MEDICAL CENTER PA

Practice address

2595 Tampa Rd
Ste K
Palm Harbor, FL 34684-3152

Phone

(727) 789-6551

NPI assigned

Aug 14, 2007

Last updated

Dec 3, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vijay Taunk, MDNPI 1417958497

Title

President

Phone

(727) 789-6551

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vijay Taunk, M.D

  • Internal Medicine Physician
  • Palm Harbor, FL
  • NPI 1417958497
  Medicare reassignment NPD Authorized official
• Jawahar Lal Taunk, MD

  • Specialist
  • Palm Harbor, FL
  • NPI 1528066271
  NPD (past)

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354492800000",
    "number": "1376735316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2595 TAMPA RD",
            "address_2": "STE K",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "34684",
            "telephone_number": "727-789-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 TAMPA RD",
            "address_2": "STE K",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843152",
            "telephone_number": "727-789-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTLAKE MEDICAL CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2012-12-03",
        "status": "A",
        "authorized_official_last_name": "TAUNK",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-789-6551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0064536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Dyson
• E-RX Labs LLC
• East Lake Eyecare & Eyewear Inc
• East Lake Oncology
• East West Healing Solutions
• Jennifer Kristin Eaton, LCSW
• Christine M Echeverri
• Scott Eckardt, P.T.
• Susan Edson, MA COUNSELING
• Edward Carvallo MD PA Plastic & Hand Surgery (Suncoast Outpatient Surgery Center)

• Internal Medicine Physician in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.