Active NPI
Edgard Janer MD PA
- Rheumatology Physician
- Tampa, FL
National Provider Identifier
1790916369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- ME0065277
- Legal business name
- EDGARD JANER MD PA
- Practice address
- 3411 W Fletcher Ave Ste a
Tampa, FL 33618-2813 - Phone
- (813) 962-4119
- Fax
- (813) 962-3278
- NPI assigned
- Jul 30, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edgard Janer, MD
- Title
- President
- Phone
- (813) 962-4119
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | ME0065277 | FL | Primary |
Addresses
Primary practice location
3411 W Fletcher Ave Ste a
Tampa, FL 33618-2813
Mailing address
PO Box 342159
Tampa, FL 33694
Phone (813) 962-4119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 253149600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Tampa, FL
- NPI 1154353555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1255910400000",
"number": "1790916369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 342159",
"city": "TAMPA",
"state": "FL",
"postal_code": "33694",
"telephone_number": "813-962-4119",
"fax_number": "813-962-3278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3411 W FLETCHER AVE STE A",
"city": "TAMPA",
"state": "FL",
"postal_code": "336182813",
"telephone_number": "813-962-4119",
"fax_number": "813-962-3278"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDGARD JANER MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-30",
"last_updated": "2009-10-19",
"status": "A",
"authorized_official_last_name": "JANER",
"authorized_official_first_name": "EDGARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "813-962-4119",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": "FL",
"license": "ME0065277",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "253149600",
"state": "FL"
}
],
"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 Oct 19, 2009; 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.