Active NPI
Clearwater Cardiovascular and Interventional Consultants
- Non-Pharmacy Dispensing Site
- Safety Harbor, FL
National Provider Identifier
1467778381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119872601 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Clearwater Cardio Int
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-Pharmacy Dispensing Site
- Largo, FL
- NPI 1447926027
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.