Individual provider Active NPI

Dolores Kathleen Lowe, MD

  • Family Medicine Physician
  • Tarpon Springs, FL
National Provider Identifier
1669413738
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME76211 Issued in FL
Practice address
713 South Pinellas Ave, Suite a-1
Tarpon Springs Primary Care Center Manatee Village Shop
Tarpon Springs, FL 34689-3709
Phone
(727) 935-0200
Fax
(727) 935-0201
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0076211 FL
Family Medicine Physician 207Q00000X ME76211 FL Primary

Addresses

Primary practice location

713 South Pinellas Ave, Suite a-1
Tarpon Springs Primary Care Center Manatee Village Shop
Tarpon Springs, FL 34689-3709

Mailing address

10051 5TH St N
Suite 200 - Jsa Healthcare
St Petersburg, FL 33702-2289
Phone (727) 824-0780

Other identifiers 1

IdentifierTypeStateIssuer
257359800MedicaidFL

Other names 1

  • Dolores Kathleen Spavin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0076211FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medical Specialists of Plant City Family Medicine PastSince Nov 8, 2004 Accepting new patients
Family Medicine Associates Family Medicine PastSince Jan 1, 2002 Accepting new patients

Organizations & group practices 2

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1669413738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10051 5TH ST N",
            "address_2": "SUITE 200 - JSA HEALTHCARE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337022289",
            "telephone_number": "727-824-0780",
            "fax_number": "727-568-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 SOUTH PINELLAS AVE, SUITE A-1",
            "address_2": "TARPON SPRINGS PRIMARY CARE CENTER MANATEE VILLAGE SHOP",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346893709",
            "telephone_number": "727-935-0200",
            "fax_number": "727-935-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWE",
        "first_name": "DOLORES",
        "middle_name": "KATHLEEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0076211",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME76211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257359800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOLORES",
            "last_name": "SPAVIN",
            "middle_name": "KATHLEEN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tarpon Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; 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.