Israel Crespo MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME67924 Issued in FL

Legal business name

ISRAEL CRESPO MD PA

Practice address

6919 N Dale Mabry Hwy
Suite 320
Tampa, FL 33614-3972

Phone

(813) 930-8816

Fax

(813) 932-1856

NPI assigned

Feb 28, 2008

Last updated

Aug 2, 2022By 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

Yolanda Rosario

Title

Manager

Phone

(813) 997-0071

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• Israel Crespo, M D

  • Gastroenterology Physician
  • Tampa, FL
  • NPI 1942302880
  Medicare reassignment NPD
• Luis J Lopez, MD

  • Gastroenterology Physician
  • Tampa, FL
  • NPI 1346342201
  NPD

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1598934143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6919 N DALE MABRY HWY STE 250",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143860",
            "telephone_number": "813-930-8816",
            "fax_number": "813-932-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6919 N DALE MABRY HWY",
            "address_2": "SUITE 320",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143972",
            "telephone_number": "813-930-8816",
            "fax_number": "813-932-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISRAEL CRESPO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "ROSARIO",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-997-0071"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME67924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377776600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mena Isnassuos, M.D.
• Rosemary C Isom
• Heidi A Ison, LCSW
• Lindsay Ison
• Tammie Isra, PHARMD
• Jaime Israel, MA
• Keela R Israel
• Issa M Issa, DMD
• Marcelle Issa
• Natalya Issai

• Specialist in Tampa, FL
• Providers in Tampa, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.