Active NPI
Kevin V Palmer, M.D.
- Surgery Physician
- Brooksville, FL
National Provider Identifier
1821064460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME0070806
- Practice address
- 11373 Cortez Blvd
Suite 201
Brooksville, FL 34613-5414 - Phone
- (352) 596-7860
- Fax
- (352) 597-3657
- NPI assigned
- Feb 24, 2006
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME0070806 | FL | Primary |
Addresses
Primary practice location
11373 Cortez Blvd
Suite 201
Brooksville, FL 34613-5414
Mailing address
14690 Spring Hill Dr
Suite 100 Attn:Credentialing
Spring Hill, FL 34609-8102
Phone (352) 799-0046
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31269 | Other | FL | BCBS |
| 379988300 | Medicaid | FL | |
| P00955956 | Other | FL | RR MCR ATTACHED TO GRP# DR6927 |
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 |
|---|---|---|---|
| ME0070806 | FL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Coast Surgical Associates | Surgery | Current | Accepting new patients |
| Access Healthcare LLC | Past | Accepting new patients | |
| John Parrinello, PA | Past | Accepting new patients | |
| Fawzi Soliman MD PA | Surgery | Past | Accepting new patients |
Locations
7515 State Road 52
Ste 102
Hudson, FL 34667
Phone (727) 842-3322
11373 Cortez Blvd
Ste 201
Spring Hill, FL 34613
Phone (352) 596-7860
Organizations & group practices 4
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.
-
- Surgery Physician
- Brooksville, FL
- NPI 1023050739
-
- General Practice Physician
- Spring Hill, FL
- NPI 1912949561
-
- Surgery Physician
- Brooksville, FL
- NPI 1558359802
-
- Podiatrist
- Brooksville, FL
- NPI 1861579914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488326400000",
"number": "1821064460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14690 SPRING HILL DR",
"address_2": "SUITE 100 ATTN:CREDENTIALING",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346098102",
"telephone_number": "352-799-0046",
"fax_number": "352-606-2857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11373 CORTEZ BLVD",
"address_2": "SUITE 201",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346135414",
"telephone_number": "352-596-7860",
"fax_number": "352-597-3657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "KEVIN",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-24",
"last_updated": "2017-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME0070806",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "31269",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "379988300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR ATTACHED TO GRP# DR6927",
"identifier": "P00955956",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooksville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.