Kimiko Takezawa, M.D.

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

License

ME71687 Issued in FL

Practice address

13770 58TH St N
Suite 309
Clearwater, FL 33760-3759

Phone

(727) 539-1395

Fax

(727) 539-1397

NPI assigned

Apr 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Urology Center of FL Physicians Inc

  • Multi-Specialty Clinic/Center
  • Ocala, FL
  • NPI 1396786521
  NPD (past)
• Quest Diagnostics Clinical Laboratories Inc

  • Clinical Medical Laboratory
  • Mesquite, TX
  • NPI 1871475350
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962625624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 CHILLUM CT",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346955605",
            "telephone_number": "727-812-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13770 58TH ST N",
            "address_2": "SUITE 309",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603759",
            "telephone_number": "727-539-1395",
            "fax_number": "727-539-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKEZAWA",
        "first_name": "KIMIKO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "FL",
            "license": "ME71687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisa Tabak, BA
• Nejra Tabakovic, PA-C
• Heather Tack
• Kristie Lynn Taddie, D.P.M.
• Abida Taher, M.D, PHD
• Kinjal K Talati, NP
• Angelica B. Talic-Rajendran, D.O.
• Tallahassee Orthopedic Clinic III PL
• Tallahassee Orthopedic Clinic III PL
• Tallahassee Orthopedic Clinic III PL

• Anatomic Pathology Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Anatomic Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.