CLEARWATER SURGICAL ASSOCIATES, PLLC (NPI# 1811222847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811222847 |
| Entity Type | Organization |
| Organization Name | CLEARWATER SURGICAL ASSOCIATES, PLLC |
| Practice Address |
8839 Bryan Dairy Road Suite 310 Largo FL 33777 |
| Mailing Address |
1106 Druid Road South Suite 301 Clearwater FL 33756 |
| Practice Telephone | 7274465681 |
| Practice Fax Number | 7274425505 |
| Mailing Telephone | 7274465681 |
| Mailing Fax Number | 7274425505 |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2009-10-08 |
| Authorized Official Name | DR. KURT V. ERICKSON (MANAGING PARTNER) |
| Authorized Official Telephone | 7274465681 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376787614 | Clearwater Surgical Associates, Pllc | Physician Assistant | 1106 Druid Rd S, Ste 301, Clearwater, FL 33756-3846 | 2009-04-30 |
| Street Address |
8839 BRYAN DAIRY ROAD SUITE 310 |
| City | LARGO |
| State | FL |
| Zip Code | 33777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824194 | Michael Abenoja | Chiropractor | 9824 83rd Street, Seminole, FL 33777 | 2019-08-01 |
| 1922585405 | Patricia Ann Nickol | Developmental Therapist | 8988, 79th Ave N, Seminole, FL 33777 | 2018-07-26 |
| 1558748855 | Angel Flights, LLC | Ambulance | 10294 Shady Oak Lane, Seminole, FL 33777 | 2015-05-06 |
| 1831583350 | Cecilia Leticia Chandler | Nurse Practitioner | 9048 109th Terrace North, Largo, FL 33777 | 2015-03-23 |
| 1699024596 | Betsy Silverio | Social Worker | 8700 Flamevine Ave, Seminole, FL 33777 | 2012-09-06 |
| 1881965655 | Kayte Clifford | Speech-Language Pathologist | 9035 Bryan Dairy Road, Largo, FL 33777 | 2012-01-25 |
| 1750666913 | Lawrence Daniel Williams | Surgery | 8235 Lapin Ct., Seminole, FL 33777 | 2011-10-19 |
| 1033433107 | Josephine C Eligado | Anesthesiology | 8764 Baywood Park Drive, Seminole, FL 33777 | 2010-03-18 |
| 1811154826 | Joseph J Arvilla | Registered Nurse | 9476 88th Terrace North, Seminole, FL 33777 | 2008-05-19 |
| 1275713992 | Barbara Sweat Morris | Physical Therapist | 8711 Bryan Dairy Road, Bardmoor Outpatient Rehab, Largo, FL 33777 | 2007-11-09 |
| Find all providers in zip 33777 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760762629 | Matthew Reynolds | Surgery | 11200 Seminole Blvd Ste 210, Largo, FL 33778-3239 | 2011-08-24 |
| 1366630105 | Prabhu D Negi | Surgery | 8100 Merrimoor Blvd, Largo, FL 33777-3126 | 2007-10-05 |
| 1831282342 | National Wound Care Physicians Inc | Surgery | 2039 Indian Rocks Road S, Largo, FL 33774 | 2006-10-02 |
| 1528172939 | Richard F Fansler | Surgery | 12955 Seminole Blvd, Suite 210, Largo, FL 33778-2399 | 2006-08-19 |
| 1467481747 | Advanced Surgical Associates of West Fl LLP | Surgery | 1258 W Bay Dr, Suite E, Largo, FL 33770-2242 | 2006-06-30 |
| 1235121955 | Richard Shawn Gordon | Surgery | 1258 W Bay Dr Ste D, Largo, FL 33770-2277 | 2005-08-18 |
| 1942204326 | Glen David Lowery | Surgery | 2039 Indian Rocks Rd S, Largo, FL 33774-1035 | 2005-06-13 |
| 1740898840 | Karen Kritsky Do Pllc | Surgery | 201 14th St Sw, Largo, FL 33770-3133 | 2020-07-15 |
| 1831547660 | Karthik Sugumaran | Surgery | 201 14th St Sw, Largo, FL 33770-3133 | 2016-06-02 |
| 1619343811 | Allison Superneau | Surgery | 201 14th St Sw, Attn: Graduate Medical Education, Largo, FL 33770-3133 | 2015-08-11 |
| Find all providers in LARGO | ||||
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| 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.