Northwood Medical Center, PA

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP000344 Issued in FL

Legal business name

NORTHWOOD MEDICAL CENTER, PA

Doing business as

Countryside Wellness Center

Practice address

3023 Eastland Blvd
H105
Clearwater, FL 33761-4106

Phone

(727) 724-0488

Fax

(727) 724-0489

NPI assigned

Nov 12, 2011

Organization subpart

No

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

Authorized official

Name

Carol Ann Bates, LIC ACU, AP, DOM

Title

Owner

Phone

(727) 724-0488

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Countryside Wellness Center Doing business as

Locations

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

{
    "created_epoch": "1321056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321056000000",
    "number": "1306123864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 EASTLAND BLVD",
            "address_2": "H105",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337614106",
            "telephone_number": "727-724-0488",
            "fax_number": "727-724-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 EASTLAND BLVD",
            "address_2": "H105",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337614106",
            "telephone_number": "727-724-0488",
            "fax_number": "727-724-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWOOD MEDICAL CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-12",
        "last_updated": "2011-11-12",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-724-0488",
        "authorized_official_credential": "LIC ACU, AP, DOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP000344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI AS SOLE PROP.",
            "identifier": "1336330240",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Countryside Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northland Hearing Center, Inc.
• Northland Hearing Center, Inc.
• Northwood Anesthesia Associates LLC
• Northwood Anesthesia Associates LLC
• Northwood Dental LLC
• Northwood Surgery Center, P.L.
• Northwood Surgical Group
• Northwood Vision Center
• Heather R Norton, M.D.
• Daniel Anthony Nosek, MD

• Acupuncturist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2011; 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.