Organization Active NPI

Visionary Gynecology PL

  • Gynecology Physician
  • Clearwater, FL
National Provider Identifier
1376712604
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
OS5756 Issued in FL
Legal business name
VISIONARY GYNECOLOGY PL
Practice address
2695 Ulmerton Rd
Clearwater, FL 33762-3335
Phone
(727) 540-0414
Fax
(727) 540-0672
NPI assigned
Feb 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Jennifer S Hayes, D.O.
Title
Sole Member/Owner
Phone
(727) 540-0414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X OS5756 FL Primary

Addresses

Primary practice location

2695 Ulmerton Rd
Clearwater, FL 33762-3335

Mailing address

2840 W Bay Dr
#128
Belleair Bluffs, FL 33770-2620
Phone (727) 540-0414

Other names 1

  • Visionary Cosmetic Gynecology Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1376712604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 W BAY DR",
            "address_2": "#128",
            "city": "BELLEAIR BLUFFS",
            "state": "FL",
            "postal_code": "337702620",
            "telephone_number": "727-540-0414",
            "fax_number": "727-540-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 ULMERTON RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337623335",
            "telephone_number": "727-540-0414",
            "fax_number": "727-540-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY GYNECOLOGY PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SOLE MEMBER/OWNER",
        "authorized_official_telephone_number": "727-540-0414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "OS5756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visionary Cosmetic Gynecology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 21, 2018; 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.