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DR. FANOURIOS IACOVOS FERDERIGOS M.D. NPI 1235120122


NPI Information

NPI: 1235120122
Provider Name: DR. FANOURIOS IACOVOS FERDERIGOS, M.D.
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2626 TAMPA RD
SUITE 103
PALM HARBOR, FL
ZIP 34684
Phone: (727) 789-3300
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DR. Fanourios Iacovos Ferderigos, M.D. is an orthopaedic surgery in Palm Harbor, FL. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. DR. Fanourios Iacovos Ferderigos, M.D. NPI is 1235120122. 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:

2626 TAMPA RD
SUITE 103
PALM HARBOR, FL
ZIP 34684-155
Phone: (727) 789-3300
Fax: (727) 787-3454

The NPI 1235120122 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 10/31/2005 and was last updated on 6/12/2015.


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
1207X00000XOrthopaedic SurgeryME40703FLORIDAYes

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
10432120002MEDICARE NSCFLORIDA
202051OTHERFLORIDAWELLCARE PROVIDER NUMBER
3220139000OTHERFLORIDAFEDERAL WORKERS COMP PROV
44133544OTHERFLORIDAAETNA PPO
51573201020OTHERFLORIDACIGNA PROVIDER NUMBER
6592745575001OTHERFLORIDACHAMPUS PROVIDER NUMBER
715800ZOTHERFLORIDAMEDICARE PTAN
8D21377MEDICARE UPINFLORIDA
910015687OTHERFLORIDARAILROAD MEDICARE
10207845OTHERFLORIDAAVMED PROVIDER NUMBER
11624281OTHERFLORIDAAETNA HMO

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.