Organization Active NPI

Pinellas Radiation Oncology Associates

  • Specialist
  • Clearwater, FL
National Provider Identifier
1366491748
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PINELLAS RADIATION ONCOLOGY ASSOCIATES
Practice address
3155 N McMullen Booth Rd
Clearwater, FL 33761-2008
Phone
(727) 669-9018
Fax
(727) 669-4308
NPI assigned
May 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Authorized official

Name
Michael D Gauwitz, M.D.
Title
President
Phone
(727) 669-9018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

3155 N McMullen Booth Rd
Clearwater, FL 33761-2008

Mailing address

3155 N McMullen Booth Rd
Clearwater, FL 33761-2008
Phone (727) 669-9018

Other identifiers 1

IdentifierTypeStateIssuer
257289300MedicaidFL

National Provider Directory

National Provider Directory

Locations

3155 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 669-9018

198 14th St SW
Largo, FL 33770
Phone (727) 462-7045

3850 Tampa Rd
Ste 101
Palm Harbor, FL 34684
Phone (727) 789-0200

Practitioners & affiliated clinicians

Practitioners 6

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": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1366491748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 N MCMULLEN BOOTH RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612008",
            "telephone_number": "727-669-9018",
            "fax_number": "727-669-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 N MCMULLEN BOOTH RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612008",
            "telephone_number": "727-669-9018",
            "fax_number": "727-669-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINELLAS RADIATION ONCOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "GAUWITZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-669-9018",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257289300",
            "state": "FL"
        }
    ],
    "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 Aug 19, 2015; 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.