NPIMap

Organization Active NPI

Stephen Kreitzer MD PA

  • Pulmonary Disease Physician
  • Tampa, FL
National Provider Identifier
1770807489
Registry record updated Apr 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME0022412 Issued in FL
Legal business name
STEPHEN KREITZER MD PA
Practice address
2919 W Swann Ave
Suite 105
Tampa, FL 33609-4038
Phone
(813) 877-5337
Fax
(813) 872-0284
NPI assigned
Mar 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2010

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

Authorized official

Name
Dr. Stephen Mordecai Kreitzer, M.D.
Title
President
Phone
(813) 877-5337

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X ME0022412 FL Primary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X ME0022412 FL

Addresses

Primary practice location

2919 W Swann Ave
Suite 105
Tampa, FL 33609-4038

Mailing address

2919 W Swann Ave
Suite 105
Tampa, FL 33609-4038
Phone (813) 877-5337

Other identifiers 4

IdentifierTypeStateIssuer
290015002OtherFLRAILROAD MEDICARE
29895OtherFLBLUE CROSS/BLUE SHIELD
037176900MedicaidFL
21066038OtherAETNA

Other names 1

  • Stephen M. Kreitzer, M.D. Doing business as

National Provider Directory

National Provider Directory

Locations

2919 W Swann Ave
Ste 105
Tampa, FL 33609
Phone (813) 877-5337

NPI Registry JSON

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271894400000",
    "number": "1770807489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 W SWANN AVE",
            "address_2": "SUITE 105",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094038",
            "telephone_number": "813-877-5337",
            "fax_number": "813-872-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 W SWANN AVE",
            "address_2": "SUITE 105",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094038",
            "telephone_number": "813-877-5337",
            "fax_number": "813-872-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN KREITZER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-24",
        "last_updated": "2010-04-22",
        "status": "A",
        "authorized_official_last_name": "KREITZER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MORDECAI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-877-5337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME0022412",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "FL",
            "license": "ME0022412",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "290015002",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "29895",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037176900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "21066038",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephen M. Kreitzer, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 22, 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.