NPIMap

Organization Active NPI

Tri County Professional Management, Inc

  • Gastroenterology Physician
  • Leesburg, FL
National Provider Identifier
1649673872
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME0064427 Issued in FL
Legal business name
TRI COUNTY PROFESSIONAL MANAGEMENT, INC
Practice address
8100 County Rd 44
Leesburg, FL 34788-3704
Phone
(352) 323-3314
NPI assigned
Oct 2, 2014
Last updated
Oct 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Authorized official

Name
Dr. Akram Ismail, M.D.
Title
President
Phone
(352) 323-3314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X ME0064427 FL Primary

Addresses

Primary practice location

8100 County Rd 44
Leesburg, FL 34788-3704

Mailing address

8100 County Rd 44
Leesburg, FL 34788-3704

National Provider Directory

National Provider Directory

Locations

13838 N US Highway 441
Lady Lake, FL 32159
Phone (352) 323-8868

8100 County Road 44 Leg A
Leesburg, FL 34788
Phone (352) 323-1995

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1649673872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 COUNTY RD 44",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 COUNTY RD 44",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883704",
            "telephone_number": "352-323-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI COUNTY PROFESSIONAL MANAGEMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "ISMAIL",
        "authorized_official_first_name": "AKRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-323-3314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME0064427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.