Active NPI
Tina M Lam, MD
- Surgery Physician
- Gainesville, FL
National Provider Identifier
1790843498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME0071145
- Practice address
- 7003 NW 11TH PL
Ste 4
Gainesville, FL 32605-3176 - Phone
- (352) 331-2010
- Fax
- (352) 331-2050
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME0071145 | FL | Primary |
Addresses
Primary practice location
7003 NW 11TH PL
Ste 4
Gainesville, FL 32605-3176
Mailing address
7003 NW 11TH PL
Ste 4
Gainesville, FL 32605-3176
Phone (352) 331-2010
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 |
|---|---|---|---|
| ME0071145 | FL | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299628800000",
"number": "1790843498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7003 NW 11TH PL",
"address_2": "STE 4",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326053176",
"telephone_number": "352-331-2010",
"fax_number": "352-331-2050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7003 NW 11TH PL",
"address_2": "STE 4",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326053176",
"telephone_number": "352-331-2010",
"fax_number": "352-331-2050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "TINA",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2011-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME0071145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.