BAYSIDE FAMILY HEALTHCARE CLEARWATER, LLC


Address: 107 N Mcmullen Booth Rd, Clearwater, FL 33759-4450
Phone: 7275047073

BAYSIDE FAMILY HEALTHCARE CLEARWATER, LLC (NPI# 1760791859) 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) 1760791859
Entity Type Organization
Organization Name BAYSIDE FAMILY HEALTHCARE CLEARWATER, LLC
Practice Address 107 N Mcmullen Booth Rd
Clearwater
FL 33759-4450
Practice Telephone 7275047073
Practice Fax Number 8132003313
Mailing Telephone 7275047073
Mailing Fax Number 8132003313
Enumeration Date 2010-10-06
Last Update Date 2010-10-06
Authorized Official Name PATRICK E HICKEY (MGRM)
Authorized Official Telephone 7275047073
Authorized Official Credential ARNP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine ME85120 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 274541100 05

Office Location

Street Address 107 N MCMULLEN BOOTH RD
City CLEARWATER
State FL
Zip Code 33759-4450

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487163119 Neil Hook, O.d. and Associates, P.a. Optometrist 2679 Gulf To Bay Blvd # 560-570, Clearwater, FL 33759 2017-09-26
1306366224 Caitlin Elise Sullivan Chiropractor 3000 Gulf To Bay Blvd Ste 201, Clearwater, FL 33759 2017-06-21
1881018851 Monica Adam Counselor 3491 Gandy Blvd., Suite 201, Pinellas Park, FLORIDA 33759 2014-02-12
1174868509 Red River Rehabilitation Skilled Nursing Facility 549 Sky Harbor Dr, Bldg 31, Clearwater, FL 33759 2012-12-12
1336485762 Red River Rehabilitation Skilled Nursing Facility 549 Sky Harbor Drive, Clearwater, FL 33759 2012-12-12
1710245279 Allison H Aschenbrenner Physical Therapist 2790 Gulf To Bay Boulevard, Suite C, Clearwater, FL 33759 2012-05-02
1538454954 Elizabeth M Smith Occupational Therapist 4902 Creekside Drive Suite A, Clearwater, FL 33759 2011-06-14
1487886164 Christina D Brown Psychologist 1700 N Mcmullen Booth Rd Ste C1, Clearwater, FL 33759 2009-08-14
1548408248 Len F. Leeb Counselor 2641 Harbor Circle, Clearwater, FL 33759 2009-02-03
1750544615 Dolphin II Diagostics Inc. Contractor 1700 N. Mcmullen Booth Rd Unit B-3, Clearwater, FL 33759 2008-07-09
Find all providers in zip 33759

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902354517 Lance Lieberman Family Medicine 25941 Us 19 N, Suite/po 15212, Clearwater, FL 33763-2013 2016-09-13
1295186351 Kah Development 7, L.L.C. Family Medicine 380 Park Place Blvd Ste 230, Clearwater, FL 33759-4930 2016-06-29
1104289115 Brian Patrick Mcdaniel Family Medicine 400 Pinellas St Ste 350, Clearwater, FL 33756-3319 2016-03-29
1225441215 Michael Gannon Family Medicine 2531 Landmark Dr Ste 103, Clearwater, FL 33761-3928 2014-06-06
1467873315 Community Health Center of Pinellas Inc Family Medicine 5523 Roosevelt Blvd, Clearwater, FL 33760-3425 2013-12-19
1588005185 Nadia Nirmalene Gomes Family Medicine 1007 Jeffords St Ste 101, Clearwater, FL 33756-4082 2013-07-11
1649513276 Kerry Eileen Reller Family Medicine 708 Druid Rd. E, Clearwater, FL 33756 2013-04-02
1427323351 Nancy L Robbin, M.d. Pa Family Medicine 2555 Enterprise Rd Ste 9-3, Clearwater, FL 33763-1150 2012-03-10
1679845374 Inpatient Consultants of Florida, Inc Family Medicine 1700 N Mcmullen Booth Rd Ste D1, Clearwater, FL 33759-2129 2012-01-27
1558598193 Melissa Allyn Morgan Family Medicine 2855 Gulf To Bay Blvd Apt 9303, Clearwater, FL 33759-4057 2009-06-22
Find all providers in CLEARWATER

Competitor

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City CLEARWATER
Zip Code 33759

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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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