CLEARWATER SURGICAL ASSOCIATES, PLLC


Address: 1106 Druid Rd S, Ste 301, Clearwater, FL 33756-3846
Phone: 7274465681

CLEARWATER SURGICAL ASSOCIATES, PLLC (NPI# 1376787614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376787614
Entity Type Organization
Organization Name CLEARWATER SURGICAL ASSOCIATES, PLLC
Practice Address 1106 Druid Rd S
Ste 301
Clearwater
FL 33756-3846
Practice Telephone 7274465681
Practice Fax Number 7274616258
Mailing Telephone 7274465681
Mailing Fax Number 7274616258
Enumeration Date 2009-04-30
Last Update Date 2009-04-30
Authorized Official Name KURT ERICKSON (PRESIDENT)
Authorized Official Telephone 7274465681
Authorized Official Credential MD, FACS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers
Y 208600000X Surgery Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1811222847 Clearwater Surgical Associates, Pllc Surgery 8839 Bryan Dairy Road, Suite 310, Largo, FL 33777 2009-10-08

Office Location

Street Address 1106 DRUID RD S
STE 301
City CLEARWATER
State FL
Zip Code 33756-3846

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285633917 Allan Hull Haydon Specialist 1106 Druid Rd S, Suite 301, Clearwater, FL 33756-3846 2005-07-15
1538593066 Jenner Dean Social Worker 1106 Druid Rd S, Clearwater, FL 33756-3846 2013-09-03
1093148728 Poetchanaporn Bundit Tongdee Nurse Practitioner 1106 Druid Rd S, Suite 201, Clearwater, FL 33756-3846 2013-08-16
1144652405 Tara Marie Stewart Counselor 1106 Druid Rd S, #201, Clearwater, FL 33756-3846 2013-08-08
1811236540 Behavioral Health Management Svcs, Inc. Case Management 1106 Druid Rd S, Clearwater, FL 33756-3846 2013-01-31
1174867378 Wenge Lu Internal Medicine 1106 Druid Rd S, Suite 101, Clearwater, FL 33756-3800 2012-11-12
1013280320 Carolyn Ann Johnson Social Worker 1106 Druid Rd S, Suite 201, Clearwater, FL 33756-3846 2012-02-16
1164727228 Yvette M Dixon Counselor 1106 Druid Rd S, Suite 201, Clearwater, FL 33756-3846 2011-01-21
1548407414 Emily Elizabeth Bell Registered Nurse 1106 Druid Rd S, Suite 201, Clearwater, FL 33756-3846 2009-01-14
1992993489 Jeanne Denise Mulvihill Nurse Practitioner 1106 Druid Rd S, Suite 302, Clearwater, FL 33756-3846 2007-10-09
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972882264 Zena Lansky Surgery 1001 Druid Rd S, Clearwater, FL 33756-3815 2011-08-04
1538351739 Stephanie Allen Lilly Surgery 2963 Gulf To Bay Blvd Ste 270, Clearwater, FL 33759-4209 2007-08-13
1295763977 David Howard Shapiro Surgery 561 S Duncan Ave, Clearwater, FL 33756-6255 2006-06-29
1053387787 Thomas A Tirone Surgery 1106 Druid Rd South, Ste 301, Clearwater, FL 33756-3841 2006-02-23
1679878417 David H Shapiro Md Pa Surgery 561 S Duncan Ave, Clearwater, FL 33756-6255 2011-01-25
1154570851 Susan M Shafii Surgery 455 Pinellas St Ste 320, Clearwater, FL 33756-3369 2008-09-17
1396826640 Jason Paul Wilson Surgery 400 Pinellas St, Suite 200, Clearwater, FL 33756-3312 2006-10-17
1669405841 Philip Craig Ovadia Surgery 455 Pinellas St Ste 320, Clearwater, FL 33756-3369 2006-07-09
1700822152 Kathleen G. Allen Surgery 400 Pinellas St, Suite 200, Clearwater, FL 33756-3312 2006-06-22
1174567002 Charles L Neustein Surgery 29277 Us 19 N, Clearwater, FL 33761-2102 2006-06-14
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Competitor

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City CLEARWATER
Zip Code 33756

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Dataset Information

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.

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