Active NPI
Robert Stewart Mirsky, MD
- Family Medicine Physician
- Tampa, FL
National Provider Identifier
1568479129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME67276
- Practice address
- 4350 West Cypress Street
Suite 400
Tampa, FL 33607-4164 - Phone
- (813) 882-6705
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME67276 | FL | Primary |
Addresses
Primary practice location
4350 West Cypress Street
Suite 400
Tampa, FL 33607-4164
Mailing address
2328 Dartmouth Ave N
St Petersburg, FL 33713-7928
Phone (941) 504-6695
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME67276 | FL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568479129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2328 DARTMOUTH AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337137928",
"telephone_number": "941-504-6695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4350 WEST CYPRESS STREET",
"address_2": "SUITE 400",
"city": "TAMPA",
"state": "FL",
"postal_code": "336074164",
"telephone_number": "813-882-6705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRSKY",
"first_name": "ROBERT",
"middle_name": "STEWART",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME67276",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.