Active NPI
Eva M Crooke, M.D.
- Obstetrics & Gynecology Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME111117
- Practice address
- 3000 Medical Park Dr
Suite 300
Tampa, FL 33613-4680 - Phone
- (813) 769-2778
- Fax
- (813) 769-2779
- NPI assigned
- May 23, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TRN12515 | FL | |
| Obstetrics & Gynecology Physician | 207V00000X | ME111117 | FL | Primary |
Addresses
Primary practice location
3000 Medical Park Dr
Suite 300
Tampa, FL 33613-4680
Mailing address
3000 Medical Park Dr
Suite 300
Tampa, FL 33613-4680
Phone (813) 769-2778
Other names 1
- Eva M Austin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of South Florida College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME111117 | FL | MD | Obstetrics & Gynecology Physician |
| TRN12515 | FL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitalmd Group Holding LLC | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
3815 Atmore Grove Dr
Lutz, FL 33548
Phone (813) 428-7030
3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641
5380 Primrose Lake Cir
Tampa, FL 33647
Phone (813) 769-2778
2716 W Virginia Ave
Tampa, FL 33607
Phone (813) 875-8032
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- eva.crooke.1@26845.direct.athenahealth.com
Organizations & group practices 1
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
- Miami, FL
- NPI 1871572032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365120000000",
"number": "1457519738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 MEDICAL PARK DR",
"address_2": "SUITE 300",
"city": "TAMPA",
"state": "FL",
"postal_code": "336134680",
"telephone_number": "813-769-2778",
"fax_number": "813-769-2779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 MEDICAL PARK DR",
"address_2": "SUITE 300",
"city": "TAMPA",
"state": "FL",
"postal_code": "336134680",
"telephone_number": "813-769-2778",
"fax_number": "813-769-2779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROOKE",
"first_name": "EVA",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-23",
"last_updated": "2013-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "TRN12515",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME111117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EVA",
"last_name": "AUSTIN",
"middle_name": "M",
"credential": "MD",
"code": "1",
"type": "Former 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 Apr 5, 2013; 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.
- 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.