Active NPI
Kyron C Tamar, M.D.
- Surgery Physician
- Tampa, FL
National Provider Identifier
1881725935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 200200180
- Practice address
- 3000 Medical Park Dr
Suite 400
Tampa, FL 33613-4680 - Phone
- (813) 933-9666
- Fax
- (813) 932-9229
- NPI assigned
- Mar 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | G1214 | TX | |
| Surgery Physician | 208600000X | 200200180 | NC | Primary |
Addresses
Primary practice location
3000 Medical Park Dr
Suite 400
Tampa, FL 33613-4680
Mailing address
3000 Medical Park Dr
Suite 400
Tampa, FL 33613-4680
Phone (813) 933-9666
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115698605 | Medicaid | TX | |
| 115698604 | Medicaid | TX | |
| 8M6266 | Other | TX | BCBS |
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 |
|---|---|---|---|
| G1214 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center Odessa | Surgery | Past | Accepting new patients |
| Tampa Bay Surgical Group, LLP | Surgery | Past | Accepting new patients |
Organizations & group practices 2
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
- Tampa, FL
- NPI 1831308949
-
- Family Medicine Physician
- Odessa, TX
- NPI 1407845084
Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475712000000",
"number": "1881725935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 MEDICAL PARK DR",
"address_2": "SUITE 400",
"city": "TAMPA",
"state": "FL",
"postal_code": "336134680",
"telephone_number": "813-933-9666",
"fax_number": "813-932-9229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 MEDICAL PARK DR",
"address_2": "SUITE 400",
"city": "TAMPA",
"state": "FL",
"postal_code": "336134680",
"telephone_number": "813-933-9666",
"fax_number": "813-932-9229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAMAR",
"first_name": "KYRON",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2016-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "G1214",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "200200180",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115698605",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115698604",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8M6266",
"state": "TX"
}
],
"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 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.