Active NPI
Kenneth P Pages MD PA
- Psychiatry Physician
- Tampa, FL
National Provider Identifier
1942321963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME0076178
- Legal business name
- KENNETH P PAGES MD PA
- Practice address
- 508 S Habana Ave
Suite 320
Tampa, FL 33609-4181 - Phone
- (813) 878-2200
- Fax
- (813) 878-2069
- NPI assigned
- Apr 3, 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
- Dr. Kenneth Paul Pages, MD
- Title
- President
- Phone
- (813) 878-2200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME0076178 | FL | Primary |
Addresses
Primary practice location
508 S Habana Ave
Suite 320
Tampa, FL 33609-4181
Mailing address
508 S Habana Ave
Suite 320
Tampa, FL 33609-4181
Phone (813) 878-2200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568494482 | Other | FL | NPI |
| AD929 | Other | FL | MEDICARE GROUP NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Tampa, FL
- NPI 1568494482
-
- Child & Adolescent Psychiatry Physician
- Tampa, FL
- NPI 1023020021
-
- Psychiatric/Mental Health Nurse Practitioner
- Tampa, FL
- NPI 1093843948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193961600000",
"number": "1942321963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 S HABANA AVE",
"address_2": "SUITE 320",
"city": "TAMPA",
"state": "FL",
"postal_code": "336094181",
"telephone_number": "813-878-2200",
"fax_number": "813-878-2069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 S HABANA AVE",
"address_2": "SUITE 320",
"city": "TAMPA",
"state": "FL",
"postal_code": "336094181",
"telephone_number": "813-878-2200",
"fax_number": "813-878-2069"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENNETH P PAGES MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-03",
"last_updated": "2007-11-02",
"status": "A",
"authorized_official_last_name": "PAGES",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "813-878-2200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME0076178",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1568494482",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "AD929",
"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 Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.