Active NPI
Koval Radiation Oncology Associates PA
- Specialist
- Tampa, FL
National Provider Identifier
1396919072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- KOVAL RADIATION ONCOLOGY ASSOCIATES PA
- Practice address
- 3100 E Fletcher Ave
Tampa, FL 33613-4613 - Phone
- (813) 615-7387
- Fax
- (813) 615-7409
- NPI assigned
- Apr 15, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John M Koval, MD
- Title
- President
- Phone
- (813) 615-7387
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
3100 E Fletcher Ave
Tampa, FL 33613-4613
Mailing address
PO Box 292067
Tampa, FL 33687-2067
Phone (813) 412-4682
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 236504600 | Medicaid | FL | |
| K3180 | Other | FL | MEDICARE PTAN |
Other names 1
- Drs. Koval, Friedland and Associates, PA
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Tampa, FL
- NPI 1639168529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213056000000",
"number": "1396919072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 292067",
"city": "TAMPA",
"state": "FL",
"postal_code": "336872067",
"telephone_number": "813-412-4682",
"fax_number": "813-412-4682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 E FLETCHER AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336134613",
"telephone_number": "813-615-7387",
"fax_number": "813-615-7409"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KOVAL RADIATION ONCOLOGY ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-15",
"last_updated": "2008-06-10",
"status": "A",
"authorized_official_last_name": "KOVAL",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "813-615-7387",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "236504600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "K3180",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Drs. Koval, Friedland and Associates, PA",
"code": "4",
"type": "Former Legal Business Name"
}
]
}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 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.