Erin Anne Ikenberry, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

011877 Issued in NY

Practice address

4004 N Riverside Dr
Tampa, FL 33603-3212

Phone

(813) 296-8318

NPI assigned

Jul 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

Practice roles

Locations

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.

• Coastline Emergency Physicians LLC

  • Emergency Medicine Physician
  • Dunedin, FL
  • NPI 1891744769
  Medicare reassignment NPD
• Guidewell Emergency Medicine Doctors, LLC

  • Urgent Care Clinic/Center
  • Winter Park, FL
  • NPI 1629497235
  Medicare reassignment
• Guidewell Emergency Medicine Doctors, LLC

  • Radiology Clinic/Center
  • Winter Park, FL
  • NPI 1639973555
  NPD (past)
• Oakfield Drive Emergency Physicians LLC

  • Emergency Medicine Physician
  • Brandon, FL
  • NPI 1457670879
  NPD (past)
• Russell Emergency Physicians LLC

  • Emergency Medicine Physician
  • Largo, FL
  • NPI 1245289180
  NPD (past)
• Madison Avenue Emergency Medicine PC

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1073686739
  NPD (past)
• Trustees of Columbia University in the Department of Otolaryngology

  • Specialist
  • New York, NY
  • NPI 1801074315
  NPD (past)

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639785600000",
    "number": "1457550014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9988 LAKE SEMINOLE DR W",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337734551",
            "telephone_number": "813-635-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 N RIVERSIDE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336033212",
            "telephone_number": "813-296-8318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1603 Missouri Ave N",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337701825",
            "country_code": "US",
            "telephone_number": "727-614-0020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 14th St SW",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337703199",
            "country_code": "US",
            "telephone_number": "727-588-5222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IKENBERRY",
        "first_name": "ERIN",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2021-12-18",
        "certification_date": "2021-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "011877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tom Ignatius, MD
• Ignite Home Health -Region 6 LLC
• Ignite Home Health LLC
• Patrick Abhulime Ijewere, B.PHARM, M.D., MBA
• Folashade Deborah Ijoma
• Ilacus LLC
• Ileana'S Care Home Inc
• Christopher A Iler, PSY.D.
• Elizabeth Ann Iler, M.S. CCC-SLP
• Arzu Ilercil, MD

• Surgical Physician Assistant in Tampa, FL
• Providers in Tampa, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.