MARTINE EXTERMANN MD NPI 1154353589

NPI Information

NPI: 1154353589
Provider Name: MARTINE EXTERMANN, MD
Classification: Internal Medicine - 207RX0202X
Entity Type: Individual

Specialization: Medical Oncology

Organization: H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC

PECOS Registration: Yes

Address:
12902 USF MAGNOLIA DR
TAMPA, FL
ZIP 33612
Phone: (813) 745-6790
Get Directions

Martine Extermann, MD is a medical oncology internal medicine in Tampa, FL with 38 years of experience. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. Martine Extermann, MD NPI is 1154353589. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12902 USF MAGNOLIA DR
TAMPA, FL
ZIP 33612-416
Phone: (813) 745-6790
Fax: (813) 745-1908

The NPI 1154353589 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 8/26/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RX0202X	Internal Medicine	Medical Oncology	ME108695	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	38064	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD
2	251945300	MEDICAID	FLORIDA
3	38064X	MEDICARE PIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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