Active NPI
Tommy Errice Enoch, M.D.
- Family Medicine Physician
- Tallahassee, FL
National Provider Identifier
1720052384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 22081
- Practice address
- 1616 Riggins Rd
Tallahassee, FL 32308-5316 - Phone
- (850) 656-8944
- Fax
- (850) 878-1824
- NPI assigned
- Feb 13, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 22081 | FL | Primary |
Addresses
Primary practice location
1616 Riggins Rd
Tallahassee, FL 32308-5316
Mailing address
1616 Riggins Rd
Tallahassee, FL 32308-5316
Phone (850) 656-8944
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78078 | Other | FL | BLUE CROSS BLUE SHIELD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22081 | FL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204761600000",
"number": "1720052384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 RIGGINS RD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085316",
"telephone_number": "850-656-8944",
"fax_number": "850-878-1824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 RIGGINS RD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085316",
"telephone_number": "850-656-8944",
"fax_number": "850-878-1824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENOCH",
"first_name": "TOMMY",
"middle_name": "ERRICE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2008-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "22081",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "78078",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.