Suzana Tanimoto, PA-C

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

PA9111967 Issued in FL

Practice address

77 8TH St S Ste B
Naples, FL 34102-6111

Phone

(239) 325-2015

NPI assigned

Mar 4, 2019

Last updated

Mar 4, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Pse of Naples PLLC

  • Ophthalmology Physician
  • Naples, FL
  • NPI 1649676180
  Medicare reassignment
• Ginsberg Eye Obs

  • Ambulatory Surgical Clinic/Center
  • Naples, FL
  • NPI 1962070516
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1972061570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 8TH ST S STE B",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341026111",
            "telephone_number": "239-325-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 8TH ST S STE B",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341026111",
            "telephone_number": "239-325-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANIMOTO",
        "first_name": "SUZANA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "PA9111967",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "PA9111967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL LICENSE",
            "identifier": "PA9111967",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara K Robison DDS PA
• Janeth Tamara, MS, LMHC
• Arais Tamayo Ricardo
• Tamiami Dental Care PLLC
• Keenan Tamm, PSYD, NCSP
• Michael Tanner, P.A.
• Susan Yvonne Tant
• Tanya Neuhaus Horstendc PA
• Laura Tapia
• Yolanda Tapia

• Ophthalmology Physician in Naples, FL
• Providers in Naples, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.