Individual provider Active NPI

Katherine E Dadisman, DO

  • Obstetrics & Gynecology Physician
  • Largo, FL
National Provider Identifier
1699748798
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
058075 Issued in FL
Practice address
1301 2ND Ave SW
Largo, FL 33770-3120
Phone
(727) 462-2229
Fax
(727) 447-5610
NPI assigned
Feb 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 058075 FL Primary

Addresses

Primary practice location

1301 2ND Ave SW
Largo, FL 33770-3120

Mailing address

PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0033

Other practice location 1

401 Corbett St
Suite 400
Belleair, FL 33756-7309
Phone (727) 462-2229

Other identifiers 3

IdentifierTypeStateIssuer
251910101MedicaidFL
1215135090OtherFLGROUP NPI
251910100MedicaidFL

Other names 1

  • Katherine E Majoros Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080423000695 FL Practitioner - Obstetrics/Gynecology 2264510726 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Care Florida LLC 324 clinicians

Practice addresses (Care Compare)

1301 2ND Ave SW
Largo, FL 33770-3120
Phone (813) 644-6235

Hospital & facility affiliations

  • Adventhealth North Pinellas Hospital, Tarpon Springs, FL, CCN 100055
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
058075FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Care Florida LLC Obstetrics & Gynecology CurrentSince Feb 1, 2008 Accepting new patients
Womens' Health Hospitalists, LLC Obstetrics & Gynecology CurrentSince Jul 23, 2017 Accepting new patients

Locations

401 Corbett St
Ste 400
Belleair, FL 33756
Phone (727) 298-1788

1301 2nd Ave SW
Fl 6
Largo, FL 33770

1301 2nd Ave SW
Largo, FL 33770
Phone (727) 581-8767

34041 US Highway 19 N
Ste C
Palm Harbor, FL 34684
Phone (727) 281-9649

7601 Seminole Blvd
Seminole, FL 33772
Phone (727) 394-8442

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

5002 W Lemon St
Tampa, FL 33609

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

Interoperability endpoints

  • Direct secure messaging: katherine.dadisman@wcfnf.eclinicaldirectplus.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1699748798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748817",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748817",
            "telephone_number": "813-286-0033",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 2ND AVE SW",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703120",
            "telephone_number": "727-462-2229",
            "fax_number": "727-447-5610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Corbett St",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Belleair",
            "state": "FL",
            "postal_code": "337567309",
            "country_code": "US",
            "telephone_number": "727-462-2229",
            "fax_number": "727-447-5610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DADISMAN",
        "first_name": "KATHERINE",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "058075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251910101",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1215135090",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251910100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "MAJOROS",
            "middle_name": "E",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.