CLEARWATER CARDIOVASCULAR & INTERVENTIONAL CONSULTANTS MD PA (NPI# 1659396133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659396133 |
| Entity Type | Organization |
| Organization Name | CLEARWATER CARDIOVASCULAR & INTERVENTIONAL CONSULTANTS MD PA |
| Practice Address |
455 Pinellas Street Suite 400 Clearwater FL 33756-3356 |
| Practice Telephone | 7274451911 |
| Practice Fax Number | 7274451986 |
| Mailing Telephone | 7274451992 |
| Mailing Fax Number | 7274451993 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2019-04-08 |
| Authorized Official Name | MR. FREDERIC R SIMMONS JR. (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7274451992 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 057111300 | 05 |
| Street Address |
455 PINELLAS STREET SUITE 400 |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33756-3356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457332553 | Henry Andrew Hazlitt | Internal Medicine | 455 Pinellas Street, Suite 400, Clearwater, FL 33756-3356 | 2005-11-07 |
| 1689032104 | Nicole Begovic | Nurse Practitioner | 455 Pinellas Street, Suite 320, Clearwater, FL 33756 | 2016-01-29 |
| 1689925190 | Rebecca Leilani Mcgee | Licensed Practical Nurse | 455 Pinellas Street, Suite 400, Clearwater, FL 33756-3356 | 2012-09-24 |
| 1861741910 | Sylvia Delia Burns | Nurse Practitioner | 455 Pinellas Street, Suite 400, Clearwater, FL 33756-3356 | 2012-09-05 |
| 1326397399 | Diane Lynn Bashton | Registered Nurse | 455 Pinellas Street, Suite 400, Clearwater, FL 33756-3356 | 2012-09-05 |
| 1497004543 | Jennifer Lynne Boyd | Registered Nurse | 455 Pinellas Street, Suite 400, Clearwater, FL 33756-3356 | 2012-09-05 |
| 1457600512 | Michele Ann Cameron | Registered Nurse | 455 Pinellas Street, Suite 400, Clearwater, FL 33756-3356 | 2012-09-05 |
| 1043569031 | Caezar Martinez Manuel | Registered Nurse | 455 Pinellas Street, Suite 400, Clearwater, FL 33756-3356 | 2012-09-05 |
| 1992054050 | Linda Ann Selker | Registered Nurse | 455 Pinellas Street, Suite 400, Clearwater, FL 33756-3356 | 2012-09-05 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942435862 | Olga Kristof-kuteyeva | Internal Medicine | 455 Pinellas St Ste 330, Clearwater, FL 33756-3369 | 2009-05-20 |
| 1194970277 | Mahesh Amin Pa | Internal Medicine | 1107 S Myrtle Ave, Clearwater, FL 33756-3945 | 2008-11-17 |
| 1861692840 | Joseph S Schwartz Md Pa | Internal Medicine | 1260 S Martin Luther King Jr Ave Ste A, Clearwater, FL 33756-4172 | 2007-07-19 |
| 1013985043 | Mahesh Amin | Internal Medicine | 455 Pinellas St Ste 250, Clearwater, FL 33756-3367 | 2006-03-08 |
| 1457332553 | Henry Andrew Hazlitt | Internal Medicine | 455 Pinellas Street, Suite 400, Clearwater, FL 33756-3356 | 2005-11-07 |
| 1013352368 | Michael Ernst-georg Jesinger | Internal Medicine | 455 Pinellas St Ste 400, Clearwater, FL 33756-3356 | 2013-04-30 |
| 1114295698 | Mpm Cardiology Services LLC | Internal Medicine | 300 Park Place Blvd, Suite 170, Clearwater, FL 33759-4932 | 2011-12-12 |
| 1154571560 | Juan Carlos Garcia Morell | Internal Medicine | 455 Pinellas St Ste 400, Clearwater, FL 33756-3356 | 2008-09-22 |
| 1619026770 | Michael O'neill Barry | Internal Medicine | 455 Pinellas St, Suite 400, Clearwater, FL 33756-3354 | 2007-01-09 |
| 1013952977 | Pinellas Ekg Interpreters Inc | Internal Medicine | 323 Jeffords St, Clearwater, FL 33756-3825 | 2006-06-17 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33756 |
Please comment or provide details below to improve the information on CLEARWATER CARDIOVASCULAR & INTERVENTIONAL CONSULTANTS MD PA.
| 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.