Gary Howard Dworkin, MD

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

ME61044 Issued in FL

Practice address

2835 W de Leon St
Suite 102
Tampa, FL 33609-4130

Phone

(813) 374-9002

Fax

(813) 374-9093

NPI assigned

Feb 16, 2006

Last updated

Sep 2, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 8

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: gary.dworkin@directaddress.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vein Specialists of Tampa LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Tampa, FL
  • NPI 1245532316
  Authorized official Same address or phone
• Optum Care Services Company

  • Family Nurse Practitioner
  • Columbia, MD
  • NPI 1912199415
  NPD (past)

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1851365662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 W DE LEON ST",
            "address_2": "SUITE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094130",
            "telephone_number": "813-374-9002",
            "fax_number": "813-374-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 W DE LEON ST",
            "address_2": "SUITE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094130",
            "telephone_number": "813-374-9002",
            "fax_number": "813-374-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWORKIN",
        "first_name": "GARY",
        "middle_name": "HOWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME61044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0624644",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "19867",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14685",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1888411",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAYWELL",
            "identifier": "19867",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "210106",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "134223953",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "998783",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dwic of Tampa Bay, Inc. (MedExpress Urgent Care - Carrollwood)
• Dwic of Tampa Bay, Inc. (MedExpress Urgent Care - West Tampa)
• Dwic of Tampa Bay, Inc. (MedExpress Urgent Care - New Tampa)
• Dwic of Tampabay, Inc (Doctor's Walk-In Clinic)
• Samantha Dwight
• Dorne F. Dworzanowki, MS, CCC/SLP
• Michelle Dwoskin, RD, LDN
• Bryan Lawrence Dwyer
• Shannon Dwyer
• DX Pain LLC

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.