Active NPI
Edward B Kampsen MD PA
- Otolaryngology Physician
- Tampa, FL
National Provider Identifier
1699971804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- EDWARD B KAMPSEN MD PA
- Practice address
- 2835 W de Leon St
#202
Tampa, FL 33609-4130 - Phone
- (813) 877-2685
- Fax
- (813) 876-5872
- NPI assigned
- Jun 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christina Ruble
- Title
- Office Admin
- Phone
- (813) 877-2685
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary |
Addresses
Primary practice location
2835 W de Leon St
#202
Tampa, FL 33609-4130
Mailing address
2835 W. de Leon St.
#202
Tampa, FL 33609
Phone (813) 877-2685
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30250 | Other | FL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2835 W De Leon St
Ste 202
Tampa, FL 33609
Phone (813) 877-2685
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology Physician
- Orlando, FL
- NPI 1639288749
-
- Otolaryngology Physician
- Tampa, FL
- NPI 1952306755
-
- Family Nurse Practitioner
- Tampa, FL
- NPI 1740962695
-
- Physician Assistant
- Tampa, FL
- NPI 1669697181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666656000000",
"number": "1699971804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2835 W. DE LEON ST.",
"address_2": "#202",
"city": "TAMPA",
"state": "FL",
"postal_code": "33609",
"telephone_number": "813-877-2685",
"fax_number": "813-876-5872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2835 W DE LEON ST",
"address_2": "#202",
"city": "TAMPA",
"state": "FL",
"postal_code": "336094130",
"telephone_number": "813-877-2685",
"fax_number": "813-876-5872"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDWARD B KAMPSEN MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-25",
"last_updated": "2022-10-25",
"certification_date": "2022-10-25",
"status": "A",
"authorized_official_last_name": "RUBLE",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_title_or_position": "OFFICE ADMIN",
"authorized_official_telephone_number": "813-877-2685"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "30250",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.