Active NPI
Craig Steven Courville, M.D.
- Nephrology Physician
- Tampa, FL
National Provider Identifier
1942277140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MD.017812
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 17812 | LA | MD | Pharmacist |
| MD.017812 | LA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Nephrology Physician
- Baton Rouge, LA
- NPI 1558815720
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.