Organization Active NPI

Medizen Healthcare

  • Infusion Therapy Clinic/Center
  • Tampa, FL
National Provider Identifier
1558924894
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
MEDIZEN HEALTHCARE
Practice address
2611 Bayshore Blvd Apt 802
Tampa, FL 33629-7362
Phone
(310) 869-7555
NPI assigned
Apr 22, 2019
Last updated
Jun 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Jennifer Lieu-CHI Harkins, MDNPI 1407011521
Title
Ceo/President
Phone
(310) 869-7555

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Home Infusion Agency 251F00000X
Health Service Clinic/Center 261QH0100X
Infusion Therapy Clinic/Center 261QI0500X Primary

Addresses

Primary practice location

2611 Bayshore Blvd Apt 802
Tampa, FL 33629-7362

Mailing address

2611 Bayshore Blvd Apt 802
Tampa, FL 33629-7362
Phone (310) 869-7555

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1558924894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 BAYSHORE BLVD APT 802",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336297362",
            "telephone_number": "310-869-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 BAYSHORE BLVD APT 802",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336297362",
            "telephone_number": "310-869-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIZEN HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-22",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "HARKINS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LIEU-CHI",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "310-869-7555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 11, 2019; 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.