Organization Active NPI

David Eschelbacher MD PL

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1992959589
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME89859 Issued in FL
Legal business name
DAVID ESCHELBACHER MD PL
Practice address
2812 N 22ND St
Tampa, FL 33605-2762
Phone
(813) 374-2494
Fax
(813) 374-2495
NPI assigned
Nov 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Authorized official

Name
David J. Eschelbacher, MDNPI 1285699645
Title
Owner/Ceo
Phone
(813) 374-2494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME89859 FL Primary

Addresses

Primary practice location

2812 N 22ND St
Tampa, FL 33605-2762

Mailing address

PO Box 9155
Tampa, FL 33674-9155
Phone (813) 957-2465

Other identifiers 1

IdentifierTypeStateIssuer
DO6871OtherFLRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081218000214 FL Part B Supplier - Clinic/Group Practice 7113089574 Receives reassigned benefits from 5 practitioners
Practice locations: Tampa, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2176626David Eschelbacher MD PL2812 North 22ND St, Tampa, FL 33605Certificate of waiverDec 17, 2027

National Provider Directory

National Provider Directory

Locations

202 S 22nd St
Ste 106
Tampa, FL 33605
Phone (813) 957-2456

2812 N 22nd St
Tampa, FL 33605
Phone (813) 374-2494

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524700800000",
    "number": "1992959589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9155",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336749155",
            "telephone_number": "813-957-2465",
            "fax_number": "813-374-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 N 22ND ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336052762",
            "telephone_number": "813-374-2494",
            "fax_number": "813-374-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID ESCHELBACHER MD PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-09",
        "last_updated": "2018-04-26",
        "status": "A",
        "authorized_official_last_name": "ESCHELBACHER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "813-374-2494",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME89859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DO6871",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.