Active NPI
Marian Porubsky, M.D.
- Transplant Surgery Physician
- Tampa, FL
National Provider Identifier
1801097142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transplant Surgery Physician
- License
- ME131763
- Practice address
- 409 Bayshore Blvd
Tampa, FL 33606-2707 - Phone
- (813) 844-5544
- NPI assigned
- May 31, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Transplant Surgery Physician | 204F00000X | ME131763 | FL | Primary |
Addresses
Primary practice location
409 Bayshore Blvd
Tampa, FL 33606-2707
Mailing address
PO Box 1289
Tampa, FL 33601-1289
Phone (813) 844-8927
Other practice location 1
840 S Wood St
Suite 518-E CSB
Chicago, IL 60612-4325
Phone (312) 996-6765
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020465700 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mporubsky131420@direct.tgh.org |
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 |
|---|---|---|---|
| ME131763 | FL | MD | Transplant Surgery Physician |
Interoperability endpoints
- mporubsky131420@direct.tgh.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1801097142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1289",
"city": "TAMPA",
"state": "FL",
"postal_code": "336011289",
"telephone_number": "813-844-8927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 BAYSHORE BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336062707",
"telephone_number": "813-844-5544"
}
],
"practiceLocations": [
{
"address_1": "840 S Wood St",
"address_2": "Suite 518-E CSB",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606124325",
"country_code": "US",
"telephone_number": "312-996-6765",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PORUBSKY",
"first_name": "MARIAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-31",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "204F00000X",
"taxonomy_group": "",
"desc": "Transplant Surgery",
"state": "FL",
"license": "ME131763",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020465700",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mporubsky131420@direct.tgh.org",
"affiliation": "N",
"address_1": "409 Bayshore Blvd",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336062707",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.