Provider Demographics
NPI:1942238837
Name:JAMES, GEORGE K (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:K
Last Name:JAMES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4902 EISENHOWER BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33634-6344
Mailing Address - Country:US
Mailing Address - Phone:813-636-2000
Mailing Address - Fax:813-875-3363
Practice Address - Street 1:4513 N ARMENIA AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33603-2703
Practice Address - Country:US
Practice Address - Phone:813-879-2277
Practice Address - Fax:813-875-3363
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2014-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME251222086S0129X
FLME21522208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP01364738OtherRAILROAD MEDICARE PROVIDER NUMBER
FL006632600Medicaid
FL006632600Medicaid
FL29899YMedicare PIN
FLP01364738OtherRAILROAD MEDICARE PROVIDER NUMBER