Active NPI
Paul A. Sporn, MD
- Obstetrics & Gynecology Physician
- Tampa, FL
National Provider Identifier
1447218904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME46290
- Practice address
- 2727 W Dr Martin Luther King Blvd
Ste 630
Tampa, FL 33607-6378 - Phone
- (813) 876-6000
- Fax
- (813) 876-0590
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME46290 | FL | Primary |
Addresses
Primary practice location
2727 W Dr Martin Luther King Blvd
Ste 630
Tampa, FL 33607-6378
Mailing address
2727 W Dr Martin Luther King Blvd
Ste 630
Tampa, FL 33607-6378
Phone (813) 876-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 044500200 | Medicaid | FL |
Other names 1
- Paul A Sporn
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 |
|---|---|---|---|
| ME46290 | FL | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411603200000",
"number": "1447218904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2727 W DR MARTIN LUTHER KING BLVD",
"address_2": "STE 630",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076378",
"telephone_number": "813-876-6000",
"fax_number": "813-876-0590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2727 W DR MARTIN LUTHER KING BLVD",
"address_2": "STE 630",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076378",
"telephone_number": "813-876-6000",
"fax_number": "813-876-0590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPORN",
"first_name": "PAUL",
"middle_name": "A.",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2014-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME46290",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "044500200",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PAUL",
"last_name": "SPORN",
"middle_name": "A",
"credential": "MD PA",
"code": "2",
"type": "Professional Name"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.