Active NPI
Elizabeth R Elbert, M.D
- Internal Medicine Physician
- Tampa, FL
National Provider Identifier
1821047663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 48788
- Practice address
- 2810 W MLK Blvd
Tampa, FL 33607 - Phone
- (813) 877-8450
- Fax
- (813) 877-6513
- NPI assigned
- May 9, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 48788 | FL | Primary |
Addresses
Primary practice location
2810 W MLK Blvd
Tampa, FL 33607
Mailing address
3814 W Corona St
Tampa, FL 33629-8640
Phone (813) 902-1117
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 |
|---|---|---|---|
| 48788 | FL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186012800000",
"number": "1821047663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3814 W CORONA ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336298640",
"telephone_number": "813-902-1117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2810 W MLK BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "33607",
"telephone_number": "813-877-8450",
"fax_number": "813-877-6513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELBERT",
"first_name": "ELIZABETH",
"middle_name": "R",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-09",
"last_updated": "2007-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "48788",
"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 Aug 2, 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.