J. Rapha Medical, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME84474 Issued in FL

Legal business name

J. RAPHA MEDICAL, PA

Practice address

618 13TH Street
Saint Cloud, FL 34769

Phone

(407) 556-3999

Fax

(407) 556-3933

NPI assigned

Sep 13, 2007

Last updated

Jan 7, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tanya Medina, MDNPI 1023069960

Title

Owner

Phone

(407) 556-3999

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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.

• Tanya M Medina, MD

  • Family Medicine Physician
  • Saint Cloud, FL
  • NPI 1023069960
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1508051442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421203",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347421203",
            "telephone_number": "407-556-3999",
            "fax_number": "407-847-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 13TH STREET",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "34769",
            "telephone_number": "407-556-3999",
            "fax_number": "407-556-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. RAPHA MEDICAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-556-3999",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME84474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Internal Medicine & Aesthetics
• Andrea Issa Rodriguez
• Tina Ittera
• Diana Ivanovski
• Ivcare of Florida LLC (IVCare Infusion)
• Sheeja Jacob, APRN
• Syed A Jafri, M.D.
• Bernette James
• Sabrina Daniela Jarrett, MS,RD,CSR,LDN,CHC
• Martha Kathleen Jarvis, MS PT ATCL

• Specialist in Saint Cloud, FL
• Providers in Saint Cloud, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.