Thomas M. Kerr MD PA
Organization Active NPI Vascular Surgery Physician · Tampa, FL
NPI 1790771970 · NPPES record last updated Jan 27, 2010
Key facts
- NPI
- 1790771970
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Vascular Surgery Physician 2086S0129X
- License
- ME61567 (FL)
- Legal business name
- THOMAS M. KERR MD PA
- Practice address
- 2809 W Waters Ave
Tampa, FL 33614-1852 - Phone
- (813) 348-9088
- Fax
- (813) 348-9310
- NPI assigned
- Sep 23, 2005
- Organization subpart
- No
Authorized official
- Name
- Thomas M. Kerr, MD
- Title
- Partner
- Phone
- (813) 348-9088
Practitioners 36
-
Michael Charles Goldbach, M.D.
-
Brandt Jones, D.O.
-
Thomas Kerr, MD
-
Mayleen Lopez, ARNP
-
Marlene Valentin, MD
-
Kenneth J Wright, M.D.,
-
Avianne Bunnell, MD
-
Holly-Ann Kerr, ARNP
-
Yisel Ruiz, APRN
-
Adithya Suresh, M.D.
-
Luis Abraham Mata, M.D,
-
Victoria Basile, DO
-
Robin Frake, DO
-
Krista Loving, RN
-
Hunter Walker, DO
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050924000004 | FL | Part B Supplier - Clinic/Group Practice | 2264466606 |
Receives reassigned benefits from 14 practitioners Practice locations: Tampa, FL; St Petersburg, FL; Spring Hill, FL; New Port Richey, FL; Lutz, FL; Riverview, FL |
National Provider Directory
Locations
5305 Gulf Dr
New Port Richey, FL 34652
31201 US Highway 19 N
Ste 3
Palm Harbor, FL 34684
Phone (727) 741-8355
3140 S Falkenburg Rd
Riverview, FL 33578
Phone (813) 578-2844
5789 49th St N
Saint Petersburg, FL 33709
13113 Spring Hill Dr
Spring Hill, FL 34609
Phone (352) 540-7527
2809 W Waters Ave
Tampa, FL 33614
Phone (813) 348-9088
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician |
2086S0129X | ME61567 | FL | Yes |
Addresses
Primary practice location
2809 W Waters Ave
Tampa, FL 33614-1852
Mailing address
2809 W Waters Ave
Tampa, FL 33614-1852
Phone (813) 348-9088
Other providers in Tampa, FL
- Adrien Thokalath
- Thomas Andrew Aguero D C P a
- Thomas C. Reinhart, D.D.S., P.a.
- Thomas Dougherty MD LLC
- Thomas F. Yoho DDS PA
- Thomas M. Taylor, MD PA
- Thomas N Trunnell MD PA
- Phyllis Thomas Powell
- Thomas Urgent Care Systems LLC
- Thomas Weight Loss Management System, LLC
All providers in Tampa, FL · Vascular Surgery Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.