COUNTRYSIDE SURGERY CENTER, LTD (NPI# 1518920040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518920040 |
| Entity Type | Organization |
| Organization Name | COUNTRYSIDE SURGERY CENTER, LTD |
| Practice Address |
3291 N Mcmullen Booth Rd Clearwater FL 33761-2010 |
| Practice Telephone | 7277255800 |
| Practice Fax Number | 7277974002 |
| Mailing Telephone | 7277255800 |
| Mailing Fax Number | 7277974002 |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2018-02-06 |
| Authorized Official Name | WILLIAM G SWINNEY (VP) |
| Authorized Official Telephone | 9727892877 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
986 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 079131800 | 05 |
| Street Address |
3291 N MCMULLEN BOOTH RD |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33761-2010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184210 | Sandra Shanice Campisi | Behavior Technician | 29228 Us-19 N, Clearwater, FL 33761 | 2020-11-02 |
| 1659838449 | Branden Kleehammer | Occupational Therapy Assistant | 6941 300th Ave N, Clearwater, FL 33761 | 2019-02-27 |
| 1063901403 | Sheleaha C Egly I | Behavior Technician | 29288 Us Highway 19 N, Clearwater, FL 33761 | 2018-05-01 |
| 1760979629 | Melissa Irene Valentine | Social Worker | 6997 300th Ave North, Clearwater, FL 33761 | 2018-04-17 |
| 1871011049 | Maria's Adult Day Care Center | Clinic/Center | 26224 Us Highway 19 N., Clearwater, FL 33761 | 2017-09-07 |
| 1962933739 | Robert Hudson | Occupational Therapist | 3463 Northridge Dr, Clearwater, FL 33761 | 2017-03-23 |
| 1366985582 | Brandon Chad Brown | Physician Assistant | 29277 Hwy 19 North, Clearwater, FL 33761 | 2016-11-19 |
| 1730575606 | Layne S Winker | Physician Assistant | 26812 Us 19 N # 19, Clearwater, FL 33761 | 2015-04-08 |
| 1407254907 | M Christina Memoli Od Pa | Optometrist | 27901 Us 19 N, Clearwater, FL 33761 | 2014-12-15 |
| 1952729774 | Gina Pietras Spohn | Dermatology | 3165 N Mcmullen Booth Rd Bldg B, Clearwater, FL 33761 | 2014-03-29 |
| Find all providers in zip 33761 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154956928 | Advanced Surgical Care of Clearwater LLC | Clinic/Center | 93 N Park Place Blvd Ste 102, Clearwater, FL 33759-3917 | 2020-03-11 |
| 1942715826 | Safety Harbor Asc Company LLC | Clinic/Center | 3280 N Mcmullen Booth Rd Ste 110, Clearwater, FL 33761-2046 | 2017-12-13 |
| 1891172078 | Comprehensive Surgery Center LLC | Clinic/Center | 407 Aurora Ave, Clearwater, FL 33765 | 2015-04-27 |
| 1114168697 | Feathersound Surgery Center, LLC | Clinic/Center | 2325 Ulmerton Rd Ste 27, Clearwater, FL 33762-3373 | 2009-03-13 |
| 1982788071 | Orthopaedic Surgery Center of Clearwater LLC | Clinic/Center | 402 Jeffords Street, Clearwater, FL 33756 | 2006-10-25 |
| 1306892609 | The Clearwater Orthopaedic Asc LLC | Clinic/Center | 2238 Drew St, Clearwater, FL 33765-3305 | 2006-05-26 |
| 1174586606 | Belleair Surgery Center Ltd | Clinic/Center | 1130 Ponce De Leon Blvd, Clearwater, FL 33756-1041 | 2006-04-07 |
| 1417949280 | Clearwater Ambulatory Surgical Centers Inc | Clinic/Center | 401 Corbett St, Ste 220, Clearwater, FL 33756-7309 | 2005-08-18 |
| 1912900143 | E Street Endoscopy LLC | Clinic/Center | 616 E St, Clearwater, FL 33756-3342 | 2005-05-23 |
| 1871854422 | Cps Surgery Center, LLC | Clinic/Center | 2325 Ulmerton Rd, Clearwater, FL 33762-2282 | 2012-05-30 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33761 |
Please comment or provide details below to improve the information on COUNTRYSIDE SURGERY CENTER, LTD.
| 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.