Kathryn Mogan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME 54970 Issued in FL

Practice address

1105 Valladolid de Avila
Tampa, FL 33613-1079

Phone

(813) 969-4640

NPI assigned

Apr 19, 2013

Sex

Female

Sole proprietor

Yes

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• N E Florida Internal Medicine PA

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1487724993
  NPD (past)
• St Vincents Electrocardiography, Inc

  • Specialist
  • Jacksonville, FL
  • NPI 1902964000
  NPD (past)

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366329600000",
    "number": "1962846097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 VALLADOLID DE AVILA",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131079",
            "telephone_number": "813-969-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 VALLADOLID DE AVILA",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131079",
            "telephone_number": "813-969-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGAN",
        "first_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-19",
        "last_updated": "2013-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 54970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Victor Moffett, DMD
• Moffitt Cancer Center & Research Institute
• Joseph Kevin Moffitt, MD
• Moriah R Moffitt, M.D.
• Barbaree Mofield, PTA
• Carolina Del Socorro Mogollon Crisanto, ARNP
• Natalia Mohabir
• Mohamed E Sharaby PLLC (Bay Area Eye Surgery Institute)
• Ahmed Wael Abdelhalim Mohamed Zatar
• Ayman Khalafalla Ali Mohamed, MD

• Internal Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; 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.