Individual provider Active NPI

Cynthia Mendez Karsonovich, MD

  • Surgery Physician
  • Tampa, FL
National Provider Identifier
1801900626
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD00032178 Issued in WA
Practice address
James a Haley VA Hospital
13000 Bruce B Downs Blvd (112)
Tampa, FL 33612
Phone
(813) 903-4832
Fax
(813) 978-5936
NPI assigned
Aug 18, 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
Surgery Physician 208600000X MD00032178 WA Primary

Addresses

Primary practice location

James a Haley VA Hospital
13000 Bruce B Downs Blvd (112)
Tampa, FL 33612

Mailing address

James a Haley VA Hospital
13000 Bruce B Downs Blvd (112)
Tampa, FL 33612
Phone (813) 903-4832

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130524000175 FL Order and Referring Only - General SurgeryPractitioner - General Surgery 9032357447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00032178WAMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801900626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JAMES A HALEY VA HOSPITAL",
            "address_2": "13000 BRUCE B DOWNS BLVD (112)",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33612",
            "telephone_number": "813-903-4832",
            "fax_number": "813-978-5936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JAMES A HALEY VA HOSPITAL",
            "address_2": "13000 BRUCE B DOWNS BLVD (112)",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33612",
            "telephone_number": "813-903-4832",
            "fax_number": "813-978-5936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARSONOVICH",
        "first_name": "CYNTHIA",
        "middle_name": "MENDEZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00032178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.