Clearwater Surgical Associates, PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

CLEARWATER SURGICAL ASSOCIATES, PLLC

Practice address

1106 Druid Rd S
Ste 301
Clearwater, FL 33756-3846

Phone

(727) 446-5681

Fax

(727) 461-6258

NPI assigned

Apr 30, 2009

Last updated

Apr 30, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kurt Erickson, MD, FACSNPI 1790784445

Title

President

Phone

(727) 446-5681

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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.

• Kurt Victore Erickson, MD

  • Specialist
  • Clearwater, FL
  • NPI 1790784445
  Authorized official Same address or phone

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241049600000",
    "number": "1376787614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 DRUID RD S",
            "address_2": "STE 301",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563846",
            "telephone_number": "727-446-5681",
            "fax_number": "727-461-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 DRUID RD S",
            "address_2": "STE 301",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563846",
            "telephone_number": "727-446-5681",
            "fax_number": "727-461-6258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARWATER SURGICAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-30",
        "last_updated": "2009-04-30",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-446-5681",
        "authorized_official_credential": "MD, FACS"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clearwater Resources Inc (Access Imaging Center)
• Clearwater SNF LLC
• Clearwater SNF LLC (Advanced Rehabilitation and Health Center)
• Clearwater Sports & Wellness PA
• Clearwater Sports Massage LLC
• Clearwater Transportation Group (Clearwater Yellow Cab)
• Clearwater Vision
• Clearwater Weightloss, LLC (Medi Weightloss)
• Clearwhite Dental PLLC
• Michael G. Clemens, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.