RICHARD VICTOR ABDO (NPI# 1063472108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063472108 |
| Entity Type | Individual |
| Full Name | RICHARD VICTOR ABDO |
| Credential | MD |
| Practice Address |
1011 Jeffords St Suite C Clearwater FL 33756-4070 |
| Practice Telephone | 7274465993 |
| Practice Fax Number | 7274464477 |
| Mailing Telephone | 7274465993 |
| Mailing Fax Number | 7274464477 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2019-05-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | ME0066584 | FL | Allopathic & Osteopathic Physicians |
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
ME0066584 | FL | Allopathic & Osteopathic Physicians |
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
ME0066584 | FL | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
ME0066584 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 375645900 | 05 |
| Street Address |
1011 JEFFORDS ST SUITE C |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33756-4070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497749246 | Howard Louis Schuele | Orthopaedic Surgery | 1011 Jeffords St, Suite C, Clearwater, FL 33756-4070 | 2005-09-08 |
| 1295102051 | Allison Burgess | Physician Assistant | 1011 Jeffords St, Suite D, Clearwater, FL 33756-4070 | 2015-08-27 |
| 1225358377 | Operative Reinforcements, LLC | Physician Assistant | 1011 Jeffords St, Suite D, Clearwater, FL 33756-4070 | 2010-06-10 |
| 1467780023 | Shelley Bernadette Juern Mckaughan | Occupational Therapist | 1011 Jeffords St, Suite C, Clearwater, FL 33756-4070 | 2009-11-19 |
| 1235365107 | Winston P. Biltz | Physical Therapist | 1011 Jeffords St, Suite C, Clearwater, FL 33756-4070 | 2009-06-05 |
| 1912171737 | Christopher Goff Neal | Physician Assistant | 1011 Jeffords St, Suite D, Clearwater, FL 33756-4070 | 2008-04-14 |
| 1154450898 | Marianne Bushman | Physical Therapist | 1011 Jeffords St, Suite B, Clearwater, FL 33756-4070 | 2007-03-05 |
| 1770684193 | Orthopaedic Specialties of Tampa Bay Inc | Orthopaedic Surgery | 1011 Jeffords St, Suite C, Clearwater, FL 33756-4070 | 2006-09-26 |
| 1144278300 | Anthony L Marcotte | Orthopaedic Surgery | 1011 Jeffords St, Suite C, Clearwater, FL 33756-4070 | 2006-05-04 |
| 1790745842 | John Sudler Hood | Orthopaedic Surgery | 1011 Jeffords St, Suite C, Clearwater, FL 33756-4070 | 2006-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998060 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 1603 Missouri Ave, Clearwater, FL 33756 | 2020-07-01 |
| 1578104527 | M.k. El-yousef, M.d. LLC | Psychiatry & Neurology | 1555 S. Ft Harrison Ave, Clearwater, FL 33756 | 2019-10-01 |
| 1124672670 | Kayla Marie Flook | Counselor | 1106 Druid Rd S Suite 201, Clearwater, FL 33756 | 2019-08-01 |
| 1285192989 | Amy Elizabeth Dickson | Social Worker | 1260 S Mlk Jr Ave Ste D, Clearwater, FL 33756 | 2019-03-12 |
| 1548789951 | J. Carson Woolwine O.d. Pllc. | Optometrist | 912 S. Missouri Ave., Clearwater, FL 33756 | 2017-09-18 |
| 1760912349 | Kelly Morrissey | Counselor | 1240 South Fort Harrison Ave., Clearwater, FL 33756 | 2017-06-15 |
| 1972033744 | Edward Lewis Smith | Audiologist-Hearing Aid Fitter | 820 S Fort Harrison, Clearwater, FL 33756 | 2017-06-14 |
| 1700310422 | Dedicated Senior Medical Center Clearwater, LLC. | Non-Pharmacy Dispensing Site | 855 S Highland Avenue, Dedicated Senior Medical Center St. Clearwater, LLC., Clearwater, FL 33756 | 2017-04-19 |
| 1306268339 | Theresa Anne Ritz | Counselor | 1260 S Martin Luther King Jr Ave Ste D, Clearwater, FL 33756 | 2014-01-10 |
| 1649513276 | Kerry Eileen Reller | Family Medicine | 708 Druid Rd. E, Clearwater, FL 33756 | 2013-04-02 |
| Find all providers in zip 33756 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891220828 | Hill Orthopedic Center LLC | Orthopaedic Surgery | 540 S Chickasaw Trl, Orlando, FL 32825-7804 | 2017-04-27 |
| 1962898106 | Kshitij Manchanda | Orthopaedic Surgery | 1150 Campo Sano Ave, 2nd Floor, Attn: Maria Claudia Corrandine, Coral Gables, FL 33146 | 2015-04-14 |
| 1679511174 | Sophia Esther Deben | Orthopaedic Surgery | 20601 E. Dixie Hwy, Orthopaedic Specialists of Miami Beach, Aventura, FL 33180 | 2006-06-04 |
| 1427005081 | Thomas E Odmark | Orthopaedic Surgery | 12416 66th Street N, Suite A, Largo, FL 33773-3437 | 2006-05-28 |
| 1740244243 | Mark S Mizel | Orthopaedic Surgery | 1121 Crandon Blvd Apt F403, Key Biscayne, FL 33149-2779 | 2006-04-13 |
| 1346217635 | Kevin B Newfield | Orthopaedic Surgery | 103 Coco Plum Dr, Marathon, FL 33050-4016 | 2006-03-05 |
| 1124090501 | Stanley S Shama | Orthopaedic Surgery | 232 Bullard Pkwy, Temple Terrace, FL 33617-5512 | 2006-02-01 |
| 1255330288 | Myles Rubin Samotin | Orthopaedic Surgery | 870 111th Ave N, Naples, FL 34108-1869 | 2005-07-20 |
| 1669478038 | Pierre Girard | Orthopaedic Surgery | 621 Se Port St Lucie Blvd, Port St Lucie, FL 34984-5141 | 2005-06-22 |
| 1316507239 | Wigley Feet | Orthopaedic Surgery | 1595 Ne 163rd St, North Miami Beach, FL 33162-4717 | 2019-06-13 |
| Find all providers with the same taxonomy | ||||
| City | CLEARWATER |
| Zip Code | 33756 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.