Active NPI
David a Petersen MD PA
- Specialist
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME54499
- Legal business name
- DAVID A PETERSEN MD PA
- Practice address
- 1000 Lakeview Rd 2
Clearwater, FL 33756-3475 - Phone
- (727) 724-3985
- Fax
- (727) 726-7553
- NPI assigned
- Apr 11, 2007
- Last updated
- Jul 8, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David A Petersen, MD
- Title
- Owner
- Phone
- (727) 724-3985
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME54499 | FL | Primary |
Addresses
Primary practice location
1000 Lakeview Rd 2
Clearwater, FL 33756-3475
Mailing address
1000 Lakeview Rd 2
Clearwater, FL 33756-3475
Phone (727) 724-3985
National Provider Directory
National Provider DirectoryLocations
1000 Lakeview Rd
Ste 2
Clearwater, FL 33756
Phone (727) 238-8003
2730 N McMullen Booth Rd
Ste 201
Clearwater, FL 33761
Phone (727) 210-2130
3251 N McMullen Booth Rd
Ste 102
Clearwater, FL 33761
Phone (727) 669-6242
34661 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 787-1350
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- San Diego, CA
- NPI 1750363149
-
- Surgical Physician Assistant
- Clearwater, FL
- NPI 1184681538
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Crestview, FL
- NPI 1730161126
-
- Surgical Physician Assistant
- Palm Harbor, FL
- NPI 1629157656
-
- Surgical Physician Assistant
- Baltimore, MD
- NPI 1154378719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1373241600000",
"number": "1336362888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 LAKEVIEW RD 2",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563475",
"telephone_number": "727-724-3985",
"fax_number": "727-726-7553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 LAKEVIEW RD 2",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563475",
"telephone_number": "727-724-3985",
"fax_number": "727-726-7553"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID A PETERSEN MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-11",
"last_updated": "2013-07-08",
"status": "A",
"authorized_official_last_name": "PETERSEN",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "727-724-3985",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME54499",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.