Active NPI
Victor L Dragon, MD
- Vascular Surgery Physician
- Tarpon Springs, FL
National Provider Identifier
1760412316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- ME39748
- Practice address
- 1501 S Pinellas Ave
Suite T
Tarpon Springs, FL 34689-1955 - Phone
- (727) 934-6796
- Fax
- (727) 942-6503
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME39748 | FL | |
| Vascular Surgery Physician | 2086S0129X | ME39748 | FL | Primary |
Addresses
Primary practice location
1501 S Pinellas Ave
Suite T
Tarpon Springs, FL 34689-1955
Mailing address
1501 S Pinellas Ave
Suite T
Tarpon Springs, FL 34689-1955
Phone (727) 934-6797
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 067337400 | 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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME39748 | FL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa Bay Surgical Group, LLP | Surgery | Past | Accepting new patients |
| Peter T Dinapoli MD PA | Surgery | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Palm Harbor, FL
- NPI 1679842934
-
- Surgery Physician
- Tampa, FL
- NPI 1831308949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343779200000",
"number": "1760412316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 S PINELLAS AVE",
"address_2": "SUITE T",
"city": "TARPON SPRINGS",
"state": "FL",
"postal_code": "346891955",
"telephone_number": "727-934-6797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 S PINELLAS AVE",
"address_2": "SUITE T",
"city": "TARPON SPRINGS",
"state": "FL",
"postal_code": "346891955",
"telephone_number": "727-934-6796",
"fax_number": "727-942-6503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAGON",
"first_name": "VICTOR",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2012-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME39748",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "FL",
"license": "ME39748",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "067337400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}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 Aug 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.