Tiffany E Hashem, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME123043 Issued in FL

Practice address

3201 W Waters Ave Ste a&B
Tampa, FL 33614-2879

Phone

(813) 915-0055

Fax

(813) 931-1552

NPI assigned

Apr 27, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tiffany Eckert Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Optumcare Florida Ci, LLC

  • Primary Care Clinic/Center
  • Winter Park, FL
  • NPI 1720506603
  NPD (past)

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1801154703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 W WATERS AVE STE A&B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142879",
            "telephone_number": "813-915-0055",
            "fax_number": "813-931-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 W WATERS AVE STE A&B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142879",
            "telephone_number": "813-915-0055",
            "fax_number": "813-931-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASHEM",
        "first_name": "TIFFANY",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-27",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME123043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015247400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "ECKERT",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shadiya Eushra Hasan, DMD, MS
• Tarik K Hasan, M.D.
• Yumna Hasan
• Yesenia Veronica Hasbani
• Diana Hashaw, ARNP
• Jaffrey Hashimie, M.D.
• Yasmeen Hashimie
• Nalini Hasija, MD
• Carolyn Garby Haskins, CGC
• Dwagne Haskins, DPT

• Family Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.