Individual provider Active NPI

Arnie Bruce Tannenbaum, MD

  • Urology Physician
  • Hudson, FL
National Provider Identifier
1952348971
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME0067943 Issued in FL
Practice address
7614 Jacque Rd
Suite a
Hudson, FL 34667-7195
Phone
(727) 862-8548
Fax
(727) 863-4530
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME0067943 FL Primary

Addresses

Primary practice location

7614 Jacque Rd
Suite a
Hudson, FL 34667-7195

Mailing address

7614 Jacque Rd
Suite a
Hudson, FL 34667-7195
Phone (727) 862-8548

Other identifiers 1

IdentifierTypeStateIssuer
250188100MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100107000559 FL Practitioner - Urology 5991801979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Tulane University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Urology Partners LLPGroup PAC ID 2062574924, 66 clinicians

Practice addresses (Care Compare)

10441 Quality Dr
Suite 201
Spring Hill, FL 34609-9651
Phone (352) 596-0786

11373 Cortez Blvd
Brooksville, FL 34613-5405
Phone (352) 596-0786

12408 N 56TH St
Suite 1
Temple Terrace, FL 33617-1522
Phone (813) 980-3104

7614 Jacque Rd
Suite a
Hudson, FL 34667-7195
Phone (727) 862-8548

Hospital & facility affiliations

  • HCA Florida Oak Hill Hospital Hospital, Brooksville, FL, CCN 100264
  • Tampa General Hospital Brooksville Hospital, Brooksville, FL, CCN 100071
  • HCA Florida Bayonet Point Hospital Hospital, Hudson, FL, CCN 100256
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal or shaving of skin growth1-10
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0067943FLMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Urology Partners, LLP Urology CurrentSince Sep 1, 2023 Accepting new patients
Tampa General Hospital Current Accepting new patients
Florida Urology Partners LLP PastSince Nov 17, 2019 Accepting new patients
Mark Alagna MD PA Urology PastSince Jul 1, 2006 Accepting new patients
Tampa General Provider Network Inc Urology PastSince Jun 1, 2022 Accepting new patients

Locations

7614 Jacque Rd
Ste A
Hudson, FL 34667
Phone (727) 862-8548

10441 Quality Dr
Ste 201
Spring Hill, FL 34609
Phone (352) 684-5567

10441 Quality Dr
Spring Hill, FL 34609
Phone (352) 683-7566

11373 Cortez Blvd
Ste 209
Spring Hill, FL 34613
Phone (352) 596-0786

5015 W Nassau St
Tampa, FL 33607
Phone (813) 356-0196

12408 N 56th St
Ste 1
Temple Terrace, FL 33617
Phone (813) 980-3104

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: atannenbaum274909@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952348971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7614 JACQUE RD",
            "address_2": "SUITE A",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677195",
            "telephone_number": "727-862-8548",
            "fax_number": "727-863-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7614 JACQUE RD",
            "address_2": "SUITE A",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677195",
            "telephone_number": "727-862-8548",
            "fax_number": "727-863-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNENBAUM",
        "first_name": "ARNIE",
        "middle_name": "BRUCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME0067943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250188100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

Verify at the official NPI Registry.