Individual provider Active NPI

Laurie J Folkman, MD

  • Family Medicine Physician
  • Holiday, FL
National Provider Identifier
1649451667
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME48476 Issued in FL
Practice address
2440 Mondale CT
Holiday, FL 34691-3114
Phone
(813) 245-2258
NPI assigned
Nov 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME48476 FL Primary

Addresses

Primary practice location

2440 Mondale CT
Holiday, FL 34691-3114

Mailing address

2440 Mondale CT
Holiday, FL 34691-3114
Phone (813) 245-2258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040122000126 FL Practitioner - Family Practice 3274435177 Reassigns benefits to 2 organizations
I20130813000871 CO Practitioner - Family Practice 3274435177 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME48476FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suncoast Urgent Care Centers LLC CurrentSince Aug 1, 2016 Accepting new patients
Bloom Colorado LLC CurrentSince Sep 1, 2025 Accepting new patients
Synergic Healthcare Solutions LLC CurrentSince Aug 26, 2024 Accepting new patients
Bloom Colorado LLC CurrentSince Sep 1, 2025 Accepting new patients
Synergic Healthcare Solutions LLC Current Accepting new patients
Tampa General Hospital Current Accepting new patients
Synergic Healthcare Solutions LLC CurrentSince Aug 26, 2024 Accepting new patients
Folmed Past Accepting new patients

Locations

7130 N Academy Blvd
Colorado Springs, CO 80920
Phone (719) 762-1510

995 Independent Ave
Grand Junction, CO 81505
Phone (970) 609-2001

10730 State Road 54
#104106
New Prt Rchy, FL 34655
Phone (727) 372-3888

4112 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 684-3288

3301 W Gandy Blvd
Tampa, FL 33611
Phone (318) 925-1903

5504 Gateway Blvd
Wesley Chapel, FL 33544
Phone (813) 948-5400

16521 US 301 S
Wimauma, FL 33598
Phone (813) 844-4700

200 N Bryant Ave
Ste 10
Edmond, OK 73034

Interoperability endpoints

  • Direct secure messaging: lfolkman313834@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://api.platform.athenahealth.com/14213/brand/1/csg/1/fhir/r4

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1649451667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 MONDALE CT",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346913114",
            "telephone_number": "813-245-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 MONDALE CT",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346913114",
            "telephone_number": "813-245-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLKMAN",
        "first_name": "LAURIE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-19",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME48476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holiday, FL

Sources for this page

Verify at the official NPI Registry.