Active NPI
Biogenesis Medical Inc
- General Practice Physician
- Tampa, FL
National Provider Identifier
1568974293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- BIOGENESIS MEDICAL INC
- Practice address
- 2111 W Swann Ave Ste 104
Tampa, FL 33606-2478 - Phone
- (813) 253-5969
- NPI assigned
- Nov 3, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ohara McKenna
- Title
- President
- Phone
- (813) 253-5969
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
2111 W Swann Ave Ste 104
Tampa, FL 33606-2478
Mailing address
2111 W Swann Ave Ste 104
Tampa, FL 33606-2478
Phone (813) 253-5969
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Tampa, FL
- NPI 1821378167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509667200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1509667200000",
"number": "1568974293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2111 W SWANN AVE STE 104",
"city": "TAMPA",
"state": "FL",
"postal_code": "336062478",
"telephone_number": "813-253-5969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 W SWANN AVE STE 104",
"city": "TAMPA",
"state": "FL",
"postal_code": "336062478",
"telephone_number": "813-253-5969"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIOGENESIS MEDICAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-03",
"last_updated": "2017-11-03",
"status": "A",
"authorized_official_last_name": "MCKENNA",
"authorized_official_first_name": "OHARA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "813-253-5969"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
- Bio-Medical Applications of Florida, Inc. (Fresenius Kidney Care South Tampa)
- Bio-Medical Applications of Florida, Inc. (Fresenius Kidney Care Town and Country)
- Bio-Medical Applications of Florida, Inc. (BMA of Tampa)
- Bio-Medical Applications of Florida, Inc. (Bma of Ybor City)
- Biocell Regenerative Medicine LLC
- Bioscrip Infusion Services, LLC
- Bioscrip Pharmacy, Inc. (BioScrip Pharmacy)
- Biosens Diagnostics LLC
- Biospine Holding Company, LLC
- Biospine LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.