Individual provider Active NPI

Todd Frederick Clarkson, DO

  • General Practice Physician
  • Seminole, FL
National Provider Identifier
1033210745
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
OS9404 Issued in FL
Practice address
13020 Park Blvd
Seminole, FL 33776
Phone
(727) 393-3404
Fax
(727) 392-3663
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X OS9404 FL Primary

Addresses

Primary practice location

13020 Park Blvd
Seminole, FL 33776

Mailing address

13020 Park Blvd
Seminole, FL 33776
Phone (727) 393-3404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070618000002 FL Practitioner - Family PracticePractitioner - General Practice 5698874667 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Medical Specialists LLCGroup PAC ID 5799786687, 125 clinicians

Practice addresses (Care Compare)

2128 Main St
Dunedin, FL 34698-5604
Phone (727) 736-7733

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Medical Specialists LLC CurrentSince Jul 19, 2022 Accepting new patients
Florida Medical Specialists, LLC General Practice CurrentSince Jul 19, 2022 Accepting new patients
Best Value Healthcare LLC CurrentSince Feb 1, 2018 Accepting new patients
Florida Medical Specialists LLC Current Accepting new patients
Best Value Healthcare LLC PastSince Jun 22, 2021 Accepting new patients

Locations

2128 Main St
Dunedin, FL 34698
Phone (727) 736-7733

3800 E Bay Dr
Largo, FL 33771
Phone (727) 539-0505

525 Pine Island Rd
Ste A
North Fort Myers, FL 33903
Phone (239) 984-2399

3830 Bee Ridge Rd
Ste 100
Sarasota, FL 34233
Phone (941) 921-0383

3830 Bee Ridge Rd
Ste 301
Sarasota, FL 34233
Phone (941) 923-1872

13020 Park Blvd
Seminole, FL 33776
Phone (727) 393-3404

1501 Presidential Way
Ste 12
West Palm Beach, FL 33401
Phone (407) 471-9484

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1033210745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13020 PARK BLVD",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "33776",
            "telephone_number": "727-393-3404",
            "fax_number": "727-393-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13020 PARK BLVD",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "33776",
            "telephone_number": "727-393-3404",
            "fax_number": "727-392-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKSON",
        "first_name": "TODD",
        "middle_name": "FREDERICK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS9404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

Verify at the official NPI Registry.