Clearwater Hematology Oncology Assoc PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME 59034 Issued in FL

Legal business name

CLEARWATER HEMATOLOGY ONCOLOGY ASSOC PA

Practice address

303 Pinellas Street
Suite 330
Clearwater, FL 33756-3809

Phone

(727) 447-8100

Fax

(727) 461-2603

NPI assigned

Oct 4, 2006

Last updated

Jul 6, 2010By 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

Hitesh C Patel, M.D.NPI 1831191246

Title

President

Phone

(727) 447-8100

Specialties & licenses 2

Addresses

Other identifiers 3

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.

• Hitesh Patel, M.D.

  • Medical Oncology Physician
  • Clearwater, FL
  • NPI 1831191246
  Authorized official Same address or phone

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1447345541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 PINELLAS ST",
            "address_2": "SUITE 330",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563809",
            "telephone_number": "727-447-8100",
            "fax_number": "727-461-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 PINELLAS STREET",
            "address_2": "SUITE 330",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563809",
            "telephone_number": "727-447-8100",
            "fax_number": "727-461-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARWATER HEMATOLOGY ONCOLOGY ASSOC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HITESH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-447-8100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP 1435602",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME 59034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255143800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376230100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CN7269",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clearwater Headache Center, LLC
• Clearwater Imaging Associates PA
• Clearwater Medical Supply, Inc
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• Specialist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.