Active NPI
Tracy S Fansler MD LLC
- Obstetrics & Gynecology Physician
- Largo, FL
National Provider Identifier
1902091721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- TRACY S FANSLER MD LLC
- Practice address
- 12955 Seminole Blvd
Largo, FL 33778-2399 - Phone
- (727) 584-9500
- Fax
- (727) 584-9502
- NPI assigned
- Sep 14, 2007
- 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
- Tracy S Fansler, M.D.
- Title
- President
- Phone
- (727) 584-9500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
12955 Seminole Blvd
Largo, FL 33778-2399
Mailing address
11200 Seminole Blvd Ste 210
Largo, FL 33778-3239
Phone (727) 584-9500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 261667000 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
12955 Seminole Blvd
Seminole, FL 33778
Phone (727) 584-9500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1547424000000",
"number": "1902091721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11200 SEMINOLE BLVD STE 210",
"city": "LARGO",
"state": "FL",
"postal_code": "337783239",
"telephone_number": "727-584-9500",
"fax_number": "727-440-9178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12955 SEMINOLE BLVD",
"city": "LARGO",
"state": "FL",
"postal_code": "337782399",
"telephone_number": "727-584-9500",
"fax_number": "727-584-9502"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRACY S FANSLER MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-14",
"last_updated": "2019-01-14",
"status": "A",
"authorized_official_last_name": "FANSLER",
"authorized_official_first_name": "TRACY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "727-584-9500",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "261667000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.