Individual provider Active NPI

Deborah Vergara, PA

  • Physician Assistant
  • Tampa, FL
National Provider Identifier
1790845139
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA3010 Issued in FL
Practice address
6001 Webb Rd
Tampa, FL 33615-3241
Phone
(813) 329-6012
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA3010 FL Primary

Addresses

Primary practice location

6001 Webb Rd
Tampa, FL 33615-3241

Mailing address

861 SW 78TH Ave
Suite # 100B
Plantation, FL 33324-3273
Phone (954) 693-0000

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
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Town & Country Emergency Physicians LLC Past Accepting new patients
Tarpon Springs Emergency Physicians, LLC Past Accepting new patients
Capri Emergency Physicians Past Accepting new patients
Inphynet Contracting Services LLC Physician Assistant Past Accepting new patients
West Florida Trauma Network, LLC Past Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 5

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790845139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 SW 78TH AVE",
            "address_2": "SUITE # 100B",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243273",
            "telephone_number": "954-693-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 WEBB RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153241",
            "telephone_number": "813-329-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGARA",
        "first_name": "DEBORAH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA3010",
            "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 Jul 8, 2007; 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.