Active NPI
Elizabeth Dianne Hendrix, MD
- Obstetrics & Gynecology Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME151387
- Practice address
- 2818 W Virginia Ave
Tampa, FL 33607-6330 - Phone
- (813) 872-8551
- Fax
- (813) 871-3708
- NPI assigned
- Jun 27, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TRN25503 | FL | |
| Obstetrics & Gynecology Physician | 207V00000X | ME151387 | FL | Primary |
Addresses
Primary practice location
2818 W Virginia Ave
Tampa, FL 33607-6330
Mailing address
PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0033
Other practice location 1
1401 Lucerne Ter Fl 2
Orlando, FL 32806-2001
Phone (407) 841-5297
Other practice location 2
89 W Copeland Dr
Orlando, FL 32806-2002
Phone (407) 841-5281
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TRN25503 | Other | FL | LICENSURE |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Oklahoma College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2818 W Virginia Ave
Tampa, FL 33607-6330
Phone (813) 872-8551
Hospital & facility affiliations
- St Josephs Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME151387 | FL | MD | Obstetrics & Gynecology Physician |
| TRN25503 | FL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women'S Care Florida LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Womens' Health Hospitalists, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
5202 S Macdill Ave
Tampa, FL 33611
Phone (813) 872-8551
2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551
5002 W Lemon St
Tampa, FL 33609
4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333
727 W Fletcher Ave
Tampa, FL 33612
Phone (813) 908-2229
Interoperability endpoints
- elizabeth.hendrix@wcfnf.eclinicaldirectplus.com
- elizabeth.hendrix.1@18455.direct.athenahealth.com
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.
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1013902923
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1205295599
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687478400000",
"number": "1922528322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748817",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303748817",
"telephone_number": "813-286-0033",
"fax_number": "813-282-1806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2818 W VIRGINIA AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076330",
"telephone_number": "813-872-8551",
"fax_number": "813-871-3708"
}
],
"practiceLocations": [
{
"address_1": "1401 Lucerne Ter Fl 2",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328062001",
"country_code": "US",
"telephone_number": "407-841-5297",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "89 W Copeland Dr",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328062002",
"country_code": "US",
"telephone_number": "407-841-5281",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENDRIX",
"first_name": "ELIZABETH",
"middle_name": "DIANNE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-27",
"last_updated": "2023-06-23",
"certification_date": "2023-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "TRN25503",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME151387",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSURE",
"identifier": "TRN25503",
"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 Jun 23, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.