Organization Active NPI

Clearwater Medical and Consulting LLC

  • Chiropractor
  • Seminole, FL
National Provider Identifier
1154767135
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8998 Issued in FL
Legal business name
CLEARWATER MEDICAL AND CONSULTING LLC
Practice address
6166 Seminole Blvd
Seminole, FL 33772-6835
Phone
(727) 495-7246
Fax
(727) 495-7247
NPI assigned
May 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Authorized official

Name
Dr. Douglas Philip Clearwater, D.C.
Title
President
Phone
(813) 335-9669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH8998 FL Primary

Addresses

Primary practice location

6166 Seminole Blvd
Seminole, FL 33772-6835

Mailing address

PO Box 272849
Tampa, FL 33688-2849
Phone (813) 335-9669

Other names 1

  • Injury Health Center Doing business as

National Provider Directory

National Provider Directory

Locations

14005A N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 964-8800

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": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1154767135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 272849",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336882849",
            "telephone_number": "813-335-9669",
            "fax_number": "813-793-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6166 SEMINOLE BLVD",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337726835",
            "telephone_number": "727-495-7246",
            "fax_number": "727-495-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARWATER MEDICAL AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-16",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "CLEARWATER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-335-9669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Injury Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seminole, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.