Organization Active NPI

Thomas M. Kerr MD PA

  • Vascular Surgery Physician
  • Tampa, FL
National Provider Identifier
1790771970
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME61567 Issued in 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
Last updated
Jan 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Authorized official

Name
Thomas M. Kerr, MDNPI 1467448480
Title
Partner
Phone
(813) 348-9088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X ME61567 FL Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory

Locations

19185 N Dale Mabry Hwy
Lutz, FL 33548
Phone (727) 849-8771

5305 Gulf Dr
New Port Richey, FL 34652

5305 Gulf Dr
Ste 4
New Prt Rchy, FL 34652
Phone (727) 372-7014

3140 S Falkenburg Rd
Ste 202
Riverview, FL 33578
Phone (813) 348-9088

5789 49th St N
Saint Petersburg, FL 33709

2715 N Macdill Ave
Tampa, FL 33607
Phone (813) 280-0202

2809 W Waters Ave
Tampa, FL 33614
Phone (813) 348-9088

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1790771970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141852",
            "telephone_number": "813-348-9088",
            "fax_number": "813-348-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141852",
            "telephone_number": "813-348-9088",
            "fax_number": "813-348-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS M. KERR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "KERR",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "813-348-9088",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME61567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.