Organization Active NPI

Laurie Folkman MD

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1831175454
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0048476 Issued in FL
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

Updated by the provider on Oct 30, 2007

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
274166100MedicaidFL

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.