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ELLIOT MICHAEL REISMAN M.D. NPI 1114913423


NPI Information

NPI: 1114913423
Provider Name: ELLIOT MICHAEL REISMAN, M.D.
Classification: Urology - 2088P0231X
Entity Type: Individual

Specialization: Pediatric Urology

Address:
4712 N ARMENIA AVE
SUITE 200
TAMPA, FL
ZIP 33603
Phone: (813) 874-7400
Get Directions

Elliot Michael Reisman, M.D. is a pediatric urology urology in Tampa, FL. The provider is surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). Elliot Michael Reisman, M.D. NPI is 1114913423. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4712 N ARMENIA AVE
SUITE 200
TAMPA, FL
ZIP 33603-611
Phone: (813) 874-7400
Fax: (813) 877-1397

The enumeration date for this NPI number is 9/22/2005 and was last updated on 7/8/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12088P0231XUrologyPediatric UrologyME57771FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
111750ZMEDICARE UPINFLORIDA
2063642800MEDICAIDFLORIDA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.