Individual provider Active NPI

Tahseen Izhar, MD

  • Infectious Disease Physician
  • Okeechobee, FL
National Provider Identifier
1952316689
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME82236 Issued in FL
Practice address
214 NE 19TH Drive
Okeechobee, FL 34972-1918
Phone
(863) 357-9677
Fax
(863) 763-4509
NPI assigned
Jul 30, 2006
Last updated
Jul 30, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ME82236 FL Primary

Addresses

Primary practice location

214 NE 19TH Drive
Okeechobee, FL 34972-1918

Mailing address

2055 S US Highway 1
Vero Beach, FL 32962-7206
Phone (772) 794-0030

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
ME82236FLMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Resources, LLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343606400000",
    "number": "1952316689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 S US HIGHWAY 1",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329627206",
            "telephone_number": "772-794-0030",
            "fax_number": "772-794-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 NE 19TH DRIVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349721918",
            "telephone_number": "863-357-9677",
            "fax_number": "863-763-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZHAR",
        "first_name": "TAHSEEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2012-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME82236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okeechobee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; 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.