Active NPI
Visionary Gynecology PL
- Gynecology Physician
- Clearwater, FL
National Provider Identifier
1376712604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- OS5756
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 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
National Provider Directory
National Provider DirectoryNPI 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.