Organization Active NPI

John Savidakis Jr.,P.a.

  • Podiatrist
  • Clearwater, FL
National Provider Identifier
1104802206
Registry record updated Aug 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO0002430 Issued in FL
Legal business name
JOHN SAVIDAKIS JR.,P.A.
Practice address
2701 Park Dr
Suite 6
Clearwater, FL 33763-1021
Phone
(727) 796-1490
Fax
(727) 797-5611
NPI assigned
Dec 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2013

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

Authorized official

Name
Dr. John Savidakis, D.P.M.NPI 1750454740
Title
Owner
Phone
(727) 796-1490

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO0002430 FL Primary

Addresses

Primary practice location

2701 Park Dr
Suite 6
Clearwater, FL 33763-1021

Mailing address

2701 Park Dr
Suite 6
Clearwater, FL 33763-1021
Phone (727) 796-1490

Other identifiers 1

IdentifierTypeStateIssuer
390339700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930094393 FL DME Supplier - Physician - Podiatry 6305054115 Practice locations: Clearwater, FL
O20130123000080 FL Part B Supplier - Clinic/Group Practice 6305054115 Receives reassigned benefits from 1 practitioner
Practice locations: Clearwater, FL; Palm Harbor, FL

National Provider Directory

National Provider Directory

Locations

2701 Park Dr
Ste 6
Clearwater, FL 33763
Phone (727) 631-1592

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377216000000",
    "number": "1104802206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 PARK DR",
            "address_2": "SUITE 6",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337631021",
            "telephone_number": "727-796-1490",
            "fax_number": "727-797-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 PARK DR",
            "address_2": "SUITE 6",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337631021",
            "telephone_number": "727-796-1490",
            "fax_number": "727-797-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN SAVIDAKIS JR.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-20",
        "last_updated": "2013-08-23",
        "status": "A",
        "authorized_official_last_name": "SAVIDAKIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-796-1490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO0002430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390339700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.