Active NPI
Tina Marie Thomson, M.D.
- Pediatrics Physician
- Tampa, FL
National Provider Identifier
1437415924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME132931
- Practice address
- 4620 N 22ND St
Tampa, FL 33610-6205 - Phone
- (813) 272-6240
- NPI assigned
- Apr 9, 2012
- Last updated
- Dec 18, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME132931 | FL | Primary |
Addresses
Primary practice location
4620 N 22ND St
Tampa, FL 33610-6205
Mailing address
PO Box 82969
Tampa, FL 33682-2969
Phone (813) 866-0930
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME132931 | FL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513555200000",
"number": "1437415924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 82969",
"city": "TAMPA",
"state": "FL",
"postal_code": "336822969",
"telephone_number": "813-866-0930",
"fax_number": "813-405-3722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4620 N 22ND ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336106205",
"telephone_number": "813-272-6240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMSON",
"first_name": "TINA",
"middle_name": "MARIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-09",
"last_updated": "2017-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME132931",
"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 Dec 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.