Individual provider Active NPI

Stephen Royal Smith, M.S.

  • Audiologist
  • Clearwater, FL
National Provider Identifier
1407020779
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY1232 Issued in FL
Practice address
1330 South Fort Harrison
Clearwater, FL 33756
Phone
(727) 216-0700
Fax
(727) 216-0704
NPI assigned
Apr 17, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY1232 FL Primary

Addresses

Primary practice location

1330 South Fort Harrison
Clearwater, FL 33756

Mailing address

1330 South Fort Harrison
Clearwater, FL 33756
Phone (727) 441-3588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081118000261 FL Practitioner - Qualified Audiologist 9436219615 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Coast Ear, Nose and Throat, IncGroup PAC ID 0941260103, 23 clinicians

Practice addresses (Care Compare)

1330 S Ft Harrison
Clearwater, FL 33756-3313
Phone (727) 441-3588

Merit-based Incentive Payment System (MIPS)

Final score
66.2 of 100Reported as group
Quality
92.51
Promoting interoperability
0
Improvement activities
40
Cost
78.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
AY1232FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Distribution, LLC CurrentSince Mar 28, 2025 Accepting new patients
West Coast Ear, Nose & Throat Inc CurrentSince Sep 16, 2008 Accepting new patients
Hearusa Inc Past Accepting new patients

Locations

752 N Belcher Rd
Clearwater, FL 33765
Phone (727) 220-6388

1330 S Fort Harrison Ave
Clearwater, FL 33756
Phone (727) 216-0700

646 Virginia St
Fl 3
Dunedin, FL 34698
Phone (727) 441-3588

3251 Hollywood Blvd
Ste 424
Hollywood, FL 33021
Phone (954) 963-6305

800 E Merritt Island Cswy
Ste 104
Merritt Island, FL 32952
Phone (321) 735-4942

250 Avenue K SW
Ste 105
Winter Haven, FL 33880
Phone (863) 268-2105

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1528

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1407020779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 SOUTH FORT HARRISON",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33756",
            "telephone_number": "727-441-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 SOUTH FORT HARRISON",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33756",
            "telephone_number": "727-216-0700",
            "fax_number": "727-216-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEPHEN",
        "middle_name": "ROYAL",
        "name_prefix": "Mr.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1232",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 17, 2008; 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.