Active NPI
Carmen R Damiani, DO PA
- Obstetrics & Gynecology Physician
- Seminole, FL
National Provider Identifier
1689613010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- OS4399
- Practice address
- 10011 Seminole Blvd.
Suite a
Seminole, FL 33772-2539 - Phone
- (727) 397-8888
- Fax
- (727) 399-9828
- NPI assigned
- Jun 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | OS4399 | FL | Primary |
Addresses
Primary practice location
10011 Seminole Blvd.
Suite a
Seminole, FL 33772-2539
Mailing address
10011 Seminole Blvd
Suite a
Seminole, FL 33772-2539
Phone (727) 397-8888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 047757500 | Medicaid | FL |
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 Osteopathy, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS4399 | FL | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223251200000",
"number": "1689613010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10011 SEMINOLE BLVD",
"address_2": "SUITE A",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337722539",
"telephone_number": "727-397-8888",
"fax_number": "727-399-9828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10011 SEMINOLE BLVD.",
"address_2": "SUITE A",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337722539",
"telephone_number": "727-397-8888",
"fax_number": "727-399-9828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMIANI",
"first_name": "CARMEN",
"middle_name": "R",
"credential": "DO PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-04",
"last_updated": "2008-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "OS4399",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "047757500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seminole, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.