ORTHOPAEDIC SURGERY CENTER OF CLEARWATER LLC (NPI# 1982788071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982788071 |
| Entity Type | Organization |
| Organization Name | ORTHOPAEDIC SURGERY CENTER OF CLEARWATER LLC |
| Other Organization Name | ORTHOPAEDIC SURGERY CENTER OF CLEARWATER |
| Practice Address |
402 Jeffords Street Clearwater FL 33756 |
| Practice Telephone | 7274480822 |
| Practice Fax Number | 7274477044 |
| Mailing Telephone | 7274480822 |
| Mailing Fax Number | 7274477044 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2012-04-30 |
| Authorized Official Name | DANIEL SMITH (DIRECTOR OF NURSING) |
| Authorized Official Telephone | 7274480822 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
1122 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AETNA HMO | 2602599 | 01 |
| FL | AETNA PPO | 7544268 | 01 |
| FL | STATE LIC. | 1122 | 01 |
| FL | BCBS | 69H | 01 |
| FL | RAILROAD MEDICARE | 490005251 | 01 |
| FL | 075143000 | 05 |
| Other Name | Type Code |
|---|---|
| Orthopaedic Surgery Center of Clearwater | Other Name - Individual/Organization |
| Street Address |
402 JEFFORDS STREET |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33756 |
| 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 | 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 |
| 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 |
| 1518920040 | Countryside Surgery Center, Ltd | Clinic/Center | 3291 N Mcmullen Booth Rd, Clearwater, FL 33761-2010 | 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 | 33756 |
Please comment or provide details below to improve the information on ORTHOPAEDIC SURGERY CENTER OF CLEARWATER LLC.
| 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.