Verimed Health Group Clearwater, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VERIMED HEALTH GROUP CLEARWATER, LLC

Practice address

2515 Countryside Blvd Ste H
Clearwater, FL 33763-1603

Phone

(727) 796-8600

Fax

(813) 932-0266

NPI assigned

Aug 25, 2016

Organization subpart

No

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

Authorized official

Name

Gina Perez

Title

Administrator

Phone

(727) 796-8600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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

• Erin Brantley Butler, PRN

  • Nurse Practitioner
  • Clearwater, FL
  • NPI 1043329956
  Medicare reassignment Care Compare group NPD
• Olivia Gillespie, D.O.

  • Family Medicine Physician
  • Clearwater, FL
  • NPI 1700166675
  Medicare reassignment Care Compare group
• Charlene Edmee D'Acosta, MD

  • General Practice Physician
  • Port Richey, FL
  • NPI 1306802905
  Medicare reassignment

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1265988752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 COUNTRYSIDE BLVD STE H",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337631603",
            "telephone_number": "727-796-8600",
            "fax_number": "813-932-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 COUNTRYSIDE BLVD STE H",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337631603",
            "telephone_number": "727-796-8600",
            "fax_number": "813-932-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERIMED HEALTH GROUP CLEARWATER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-25",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-796-8600"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Venezia, D.O.
• Monte David Venis, DC
• Briana Ventrella, SLP
• Venus E&E LLC
• Venus Mobile Hearing
• Deepa Bogle Verma, M.D.
• William Vermazen, MD
• Vincent Charles Veronick, DMD
• Veteran'S Transitional Housing, Inc.
• Tracey Ann Vettese, OTR/L

• Family Medicine Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.