Organization Active NPI

Clearwater Cardiovascular and Interventional Consultants

  • Non-Pharmacy Dispensing Site
  • Safety Harbor, FL
National Provider Identifier
1467778381
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
CLEARWATER CARDIOVASCULAR AND INTERVENTIONAL CONSULTANTS
Practice address
1840 Mease Dr
Suite 202
Safety Harbor, FL 34695-6602
Phone
(727) 725-6246
Fax
(727) 726-5865
NPI assigned
Apr 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Mr. Kevin B Mair
Title
Ceo
Phone
(727) 445-1992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

1840 Mease Dr
Suite 202
Safety Harbor, FL 34695-6602

Mailing address

455 Pinellas St
Suite 400
Clearwater, FL 33756-3354
Phone (727) 445-1992

Other identifiers 1

IdentifierTypeStateIssuer
119872601MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Clearwater Cardio Int2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1840 Mease Dr
Ste 202
Safety Harbor, FL 34695
Phone (727) 445-1911

NPI Registry JSON

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1467778381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 PINELLAS ST",
            "address_2": "SUITE 400",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563354",
            "telephone_number": "727-445-1992",
            "fax_number": "727-445-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 MEASE DR",
            "address_2": "SUITE 202",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346956602",
            "telephone_number": "727-725-6246",
            "fax_number": "727-726-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARWATER CARDIOVASCULAR AND INTERVENTIONAL CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-16",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "MAIR",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-445-1992",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119872601",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Safety Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.