Healthcare Provider Details

I. General information

NPI: 1225011265
Provider Name (Legal Business Name): JOHN A ARRINGTON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/23/2005
Last Update Date: 01/07/2025
Certification Date: 01/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12902 USF MAGNOLIA DR MOFFITT CANCER CENTER
TAMPA FL
33612-9416
US

IV. Provider business mailing address

P O BOX 198441 MOFFITT CANCER CENTER
ATLANTA GA
30384-9416
US

V. Phone/Fax

Practice location:
  • Phone: 813-745-1573
  • Fax: 813-745-6070
Mailing address:
  • Phone: 813-745-7365
  • Fax: 813-449-8618

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License NumberADDED QUALIFICATIONS
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number200201218
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number026698
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number118205
License Number StateMO
# 5
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberME44997
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: