Premier OB GYN of Tampa LLP

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

PREMIER OB GYN OF TAMPA LLP

Practice address

2727 W Dr MLK Blvd
Suite 630
Tampa, FL 33607-6383

Phone

(813) 935-8998

Fax

(813) 935-0987

NPI assigned

Oct 8, 2009

Last updated

Sep 23, 2019By 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

Mark R Davis, MDNPI 1245203702

Title

Authorized Signer

Phone

(813) 876-6000

Specialties & licenses 1

Addresses

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.

• Mark R Davis, MD

  • Obstetrics & Gynecology Physician
  • Tampa, FL
  • NPI 1245203702
  Authorized official Same address or phone

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569196800000",
    "number": "1609101641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 W DR MLK BLVD",
            "address_2": "SUITE 630",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076383",
            "telephone_number": "813-935-8998",
            "fax_number": "813-935-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W DR MLK BLVD",
            "address_2": "SUITE 630",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076383",
            "telephone_number": "813-935-8998",
            "fax_number": "813-935-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER OB GYN OF TAMPA LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-08",
        "last_updated": "2019-09-23",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "AUTHORIZED SIGNER",
        "authorized_official_telephone_number": "813-876-6000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Foot and Ankle
• Premier Hospitalists PL
• Premier Medical Equipment, Inc
• Premier Miller Orthopedic Centers Inc (Outpatient Treatment Center)
• Premier Miller Orthopedic Centers, Inc.
• Premier OB/GYN
• Premier Orthopedics, Inc.
• Premier Pediatric Therapy Centers, Inc.
• Premier Pharma Services Inc (Rite Rx Care)
• Premier Pharmacy LLC

• Obstetrics & Gynecology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.