Clear Skin Dermatology, P.a.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CLEAR SKIN DERMATOLOGY, P.A.

Practice address

2454 N McMullen Booth Rd Ste 424
Clearwater, FL 33759-1339

Phone

(727) 248-0118

Fax

(727) 286-9555

NPI assigned

Jul 23, 2019

Organization subpart

No

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

Authorized official

Name

Rachel Epstein, DONPI 1356588974

Title

President/Owner

Phone

(727) 248-0118

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00359

Practitioners 4

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

• Rachel Erin Epstein, D.O.

  • Dermatology Physician
  • Clearwater, FL
  • NPI 1356588974
  Medicare reassignment Care Compare group NPD Authorized official
• Anna Shaw, APRN

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1265763676

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Casey Lin Viera, ARNP

  • Nurse Practitioner
  • Tampa, FL
  • NPI 1144641556
  Medicare reassignment Care Compare group NPD
• Christina Greene, APRN

  • Family Nurse Practitioner
  • Saint Petersburg, FL
  • NPI 1689202426
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572307200000",
    "number": "1336792811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2454 N MCMULLEN BOOTH RD STE 424",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591339",
            "telephone_number": "727-248-0118",
            "fax_number": "727-286-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2454 N MCMULLEN BOOTH RD STE 424",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591339",
            "telephone_number": "727-248-0118",
            "fax_number": "727-286-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR SKIN DERMATOLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-10-29",
        "status": "A",
        "authorized_official_last_name": "EPSTEIN",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "727-248-0118",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dylan O Clausen, DC
• Matthew Clavenna, MD
• Alexander Maximo Clavijo, MD
• Clarence Henry Clay IV, MD
• Kelly Claytor, DPT
• Clear Water Care Acquisition LLC
• Clear Water Care and Rehabilitation Center, LLC
• Clearmindforall, Inc
• Clearpath Health LLC
• Cleartone Inc

• Dermatology Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.