Individual provider Active NPI

Craig Steven Courville, M.D.

  • Nephrology Physician
  • Tampa, FL
National Provider Identifier
1942277140
Registry record updated Jan 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD.017812 Issued in LA
Practice address
13000 Bruce B. Downs Blvd
James a. Haley Vah (111F)
Tampa, FL 33612
Phone
(813) 972-2000
Fax
(813) 978-5850
NPI assigned
Mar 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD.017812 LA Primary

Addresses

Primary practice location

13000 Bruce B. Downs Blvd
James a. Haley Vah (111F)
Tampa, FL 33612

Mailing address

27549 Santa Anita Blvd
Wesley Chapel, FL 33544-5467
Phone (813) 929-4888

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

LicenseStateTypeSpecialty
17812LAMDPharmacist
MD.017812LAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Management LLC Nephrology Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294012800000",
    "number": "1942277140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27549 SANTA ANITA BLVD",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335445467",
            "telephone_number": "813-929-4888",
            "fax_number": "813-929-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 BRUCE B. DOWNS BLVD",
            "address_2": "JAMES A. HALEY VAH (111F)",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33612",
            "telephone_number": "813-972-2000",
            "fax_number": "813-978-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURVILLE",
        "first_name": "CRAIG",
        "middle_name": "STEVEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2011-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "MD.017812",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 3, 2011; 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.