Individual provider Active NPI

Edgar Malpartida, MD

  • Obesity Medicine (Obstetrics & Gynecology) Physician
  • Palm Harbor, FL
National Provider Identifier
1760709703
Registry record updated Apr 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Obstetrics & Gynecology) PhysicianTaxonomy code 207VB0002X
License
ME0024403 Issued in FL
Practice address
2626 Tampa Rd
Suite 103
Palm Harbor, FL 34684-3155
Phone
(727) 789-3300
Fax
(727) 787-3454
NPI assigned
Apr 30, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Obstetrics & Gynecology) Physician 207VB0002X ME0024403 FL Primary

Addresses

Primary practice location

2626 Tampa Rd
Suite 103
Palm Harbor, FL 34684-3155

Mailing address

2626 Tampa Rd
Suite 103
Palm Harbor, FL 34684-3155
Phone (727) 789-3300

Other identifiers 1

IdentifierTypeStateIssuer
052609600MedicaidFL

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0024403FLMDObesity Medicine (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fanourios I. Ferderigos, M.D., P.a. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272585600000",
    "number": "1760709703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 TAMPA RD",
            "address_2": "SUITE 103",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843155",
            "telephone_number": "727-789-3300",
            "fax_number": "727-787-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 TAMPA RD",
            "address_2": "SUITE 103",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843155",
            "telephone_number": "727-789-3300",
            "fax_number": "727-787-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALPARTIDA",
        "first_name": "EDGAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-30",
        "last_updated": "2010-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VB0002X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obesity Medicine",
            "state": "FL",
            "license": "ME0024403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052609600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.