Organization Active NPI

Lisa C Tumarkin, Mdpa

  • Pediatrics Physician
  • Gainesville, FL
National Provider Identifier
1487044426
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME0042098 Issued in FL
Legal business name
LISA C TUMARKIN, MDPA
Practice address
6440 W Newberry Rd
Suite 405
Gainesville, FL 32605-4381
Phone
(352) 333-5405
Fax
(352) 333-5407
NPI assigned
Jan 29, 2015
Last updated
Jan 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

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

Authorized official

Name
Dr. Lisa Cindy Tumarkin, M.D.NPI 1598725194
Title
Physician
Phone
(352) 333-5405

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X ME0042098 FL Primary

Addresses

Primary practice location

6440 W Newberry Rd
Suite 405
Gainesville, FL 32605-4381

Mailing address

6440 W Newberry Rd
Suite 405
Gainesville, FL 32605-4381
Phone (352) 333-5405

Other identifiers 1

IdentifierTypeStateIssuer
ME0042098OtherFLMEDICAL LICENSE

National Provider Directory

National Provider Directory

Locations

6440 W Newberry Rd
Ste 405
Gainesville, FL 32605
Phone (352) 333-5405

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1487044426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 W NEWBERRY RD",
            "address_2": "SUITE 405",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054381",
            "telephone_number": "352-333-5405",
            "fax_number": "352-333-5407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 W NEWBERRY RD",
            "address_2": "SUITE 405",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054381",
            "telephone_number": "352-333-5405",
            "fax_number": "352-333-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA C TUMARKIN, MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "TUMARKIN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "CINDY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "352-333-5405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0042098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME0042098",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.