Active NPI
Roland Ba Win, M.D.
- Emergency Medicine Physician
- Clearwater, FL
National Provider Identifier
1508911298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME41121
- Practice address
- 3231 N McMullen Booth Rd
Clearwater, FL 33761-2045 - Phone
- (727) 725-6100
- Fax
- (727) 725-6118
- NPI assigned
- Jan 24, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME41121 | FL | Primary |
Addresses
Primary practice location
3231 N McMullen Booth Rd
Clearwater, FL 33761-2045
Mailing address
18167 US Highway 19 N
Suite 285
Clearwater, FL 33764-3528
Phone (727) 507-3606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303948800000",
"number": "1508911298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18167 US HIGHWAY 19 N",
"address_2": "SUITE 285",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337643528",
"telephone_number": "727-507-3606",
"fax_number": "727-507-3630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3231 N MCMULLEN BOOTH RD",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337612045",
"telephone_number": "727-725-6100",
"fax_number": "727-725-6118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIN",
"first_name": "ROLAND",
"middle_name": "BA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2011-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME41121",
"primary": true
}
],
"identifiers": [],
"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 Apr 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.