Active NPI
Lisa Whims-Squires, D.O., PA
- Pulmonary Disease Physician
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- OS6918
- Legal business name
- LISA WHIMS-SQUIRES, D.O., PA
- Practice address
- 1305 S Fort Harrison Ave
BLDG. G
Clearwater, FL 33756-3301 - Phone
- (727) 466-9847
- Fax
- (727) 466-0346
- NPI assigned
- Jun 5, 2006
- 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
- Dr. Lisa A Whims-Squires, D.O.
- Title
- P.a.
- Phone
- (727) 466-9847
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | OS6918 | FL | Primary |
Addresses
Primary practice location
1305 S Fort Harrison Ave
BLDG. G
Clearwater, FL 33756-3301
Mailing address
2840 W Bay Dr
Suite 273
Belleair Bluffs, FL 33770-2620
Phone (727) 466-9847
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110241957 | Other | FL | RRMEDICARE |
| UNITED HEALTH | Other | FL | 4885700 |
| 259527 | Other | FL | AVMED |
| FIRST HEALTH | Other | FL | 1745733 |
| 256024100 | Medicaid | FL | |
| 3617741 | Other | FL | CIGNA |
| AMERIGROUP | Other | FL | 223693 |
| 2799257 | Other | FL | AETNA |
| 44392 | Other | FL | BC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1305 S Fort Harrison Ave
Ste A
Clearwater, FL 33756
Phone (727) 461-4600
1305 S Fort Harrison Ave
Ste G
Clearwater, FL 33756
Phone (727) 446-0600
1305 S Fort Harrison Ave
Clearwater, FL 33756
Phone (727) 446-0600
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Clearwater, FL
- NPI 1831133446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262736000000",
"number": "1477592426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2840 W BAY DR",
"address_2": "SUITE 273",
"city": "BELLEAIR BLUFFS",
"state": "FL",
"postal_code": "337702620",
"telephone_number": "727-466-9847",
"fax_number": "727-466-0346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 S FORT HARRISON AVE",
"address_2": "BLDG. G",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563301",
"telephone_number": "727-466-9847",
"fax_number": "727-466-0346"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LISA WHIMS-SQUIRES, D.O., PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-05",
"last_updated": "2010-01-06",
"status": "A",
"authorized_official_last_name": "WHIMS-SQUIRES",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "P.A.",
"authorized_official_telephone_number": "727-466-9847",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "OS6918",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMEDICARE",
"identifier": "110241957",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "4885700",
"identifier": "UNITED HEALTH",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "259527",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1745733",
"identifier": "FIRST HEALTH",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "256024100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3617741",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "223693",
"identifier": "AMERIGROUP",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2799257",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC",
"identifier": "44392",
"state": "FL"
}
],
"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 Jan 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.