Individual provider Active NPI

Gary A Zamore, M.D.

  • Specialist
  • Tampa, FL
National Provider Identifier
1831168657
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0027178 Issued in FL
Practice address
2919 W Swann Ave
Suite 203
Tampa, FL 33609-4038
Phone
(813) 870-1747
Fax
(813) 876-8561
NPI assigned
Mar 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0027178 FL Primary

Addresses

Primary practice location

2919 W Swann Ave
Suite 203
Tampa, FL 33609-4038

Mailing address

2919 W Swann Ave
Suite 203
Tampa, FL 33609-4038
Phone (813) 870-1747

Other identifiers 1

IdentifierTypeStateIssuer
03722200MedicaidFL

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
I20150723009126 FL Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 6406035021

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: gary.zamore.1@18455.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223942400000",
    "number": "1831168657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 W SWANN AVE",
            "address_2": "SUITE 203",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094038",
            "telephone_number": "813-870-1747",
            "fax_number": "813-876-8561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 W SWANN AVE",
            "address_2": "SUITE 203",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094038",
            "telephone_number": "813-870-1747",
            "fax_number": "813-876-8561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMORE",
        "first_name": "GARY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2008-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0027178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03722200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.