Active NPI
Laurie Folkman MD
- Family Medicine Physician
- Tampa, FL
National Provider Identifier
1831175454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME0048476
- Legal business name
- LAURIE FOLKMAN MD
- Practice address
- 6911 Pistol Range Rd
Tampa, FL 33635-6335 - Phone
- (813) 888-9924
- Fax
- (813) 886-8464
- NPI assigned
- Dec 15, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brandie N Mosby
- Title
- Front Supervisor
- Phone
- (813) 888-9924
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME0048476 | FL | Primary |
Addresses
Primary practice location
6911 Pistol Range Rd
Tampa, FL 33635-6335
Mailing address
6911 Pistol Range Rd
Tampa, FL 33635-6335
Phone (813) 888-9924
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 274166100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193702400000",
"number": "1831175454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6911 PISTOL RANGE RD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336356335",
"telephone_number": "813-888-9924",
"fax_number": "813-886-8464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6911 PISTOL RANGE RD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336356335",
"telephone_number": "813-888-9924",
"fax_number": "813-886-8464"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAURIE FOLKMAN MD",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-15",
"last_updated": "2007-10-30",
"status": "A",
"authorized_official_last_name": "MOSBY",
"authorized_official_first_name": "BRANDIE",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "FRONT SUPERVISOR",
"authorized_official_telephone_number": "813-888-9924"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "ME0048476",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "274166100",
"state": "FL"
}
],
"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 Oct 30, 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.