Active NPI
Eric Egozi MD PL
- Plastic and Reconstructive Surgery Physician
- Clearwater, FL
National Provider Identifier
1477714293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- ME93030
- Legal business name
- ERIC EGOZI MD PL
- Practice address
- 1608 Gulf to Bay Blvd
Clearwater, FL 33755 - Phone
- (727) 461-5872
- Fax
- (727) 449-2486
- NPI assigned
- Jun 24, 2008
- 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
- Charlene S Smith
- Title
- Office MGR
- Phone
- (727) 461-5872
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | ME93030 | FL | |
| Surgery of the Hand (Surgery) Physician | 2086S0105X | ME93030 | FL | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | ME93030 | FL | Primary |
Addresses
Primary practice location
1608 Gulf to Bay Blvd
Clearwater, FL 33755
Mailing address
1608 Gulf to Bay Blvd.
Clearwater, FL 33755
Phone (727) 461-5872
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DS6582 | Other | FL | RAILRAOD MEDICARE |
| 40356 | Other | FL | BCBS |
| 613486900 | Other | FL | US DOL |
Other names 1
- Egozi Plastic Surgery
National Provider Directory
National Provider DirectoryLocations
1608 Gulf To Bay Blvd
Clearwater, FL 33755
Phone (727) 461-5872
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic and Reconstructive Surgery Physician
- Clearwater, FL
- NPI 1275563801
Plastic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214265600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1430784000000",
"number": "1477714293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1608 GULF TO BAY BLVD.",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "33755",
"telephone_number": "727-461-5872",
"fax_number": "727-449-2486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1608 GULF TO BAY BLVD",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "33755",
"telephone_number": "727-461-5872",
"fax_number": "727-449-2486"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ERIC EGOZI MD PL",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-24",
"last_updated": "2015-05-05",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "CHARLENE",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OFFICE MGR",
"authorized_official_telephone_number": "727-461-5872"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "FL",
"license": "ME93030",
"primary": false
},
{
"code": "2086S0105X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Surgery of the Hand",
"state": "FL",
"license": "ME93030",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "FL",
"license": "ME93030",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILRAOD MEDICARE",
"identifier": "DS6582",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "40356",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DOL",
"identifier": "613486900",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Egozi Plastic Surgery",
"code": "5",
"type": "Other Name"
}
]
}
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 May 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.