Clearwater Ambulatory Surgical Centers Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

925 Issued in FL

Legal business name

CLEARWATER AMBULATORY SURGICAL CENTERS INC

Doing business as

Clearwater Endoscopy Center

Practice address

401 Corbett St
Ste 220
Clearwater, FL 33756-7309

Phone

(727) 443-0100

Fax

(727) 461-4893

NPI assigned

Aug 18, 2005

Last updated

Mar 8, 2012By 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

Dr. Eric D Weston, M.D.NPI 1922054097

Title

Medical Director

Phone

(727) 443-0100

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• CLEARWATER ENDOSCOPY CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

Clearwater Ambulatory Surgical Centers IncCCN 10C0001169

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 3

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.

• Eric D Weston, M.D.

  • Gastroenterology Physician
  • Belleair, FL
  • NPI 1922054097
  Authorized official Same address or phone
• David Scott Borislow, MD

  • Gastroenterology Physician
  • Treasure Island, FL
  • NPI 1003809419
  NPD (past)
• Meghan Elizabeth Guarino, DNP

  • Family Nurse Practitioner
  • Clearwater, FL
  • NPI 1720609969
  NPD (past)

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1417949280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 CORBETT ST",
            "address_2": "STE 220",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337567309",
            "telephone_number": "727-443-0100",
            "fax_number": "727-461-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CORBETT ST",
            "address_2": "STE 220",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337567309",
            "telephone_number": "727-443-0100",
            "fax_number": "727-461-4893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARWATER AMBULATORY SURGICAL CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "WESTON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "727-443-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL PROVIDER#",
            "identifier": "62H",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "6805119",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "1044849",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLEARWATER ENDOSCOPY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulatory Surgical Clinic/Center in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.