Organization Active NPI

Jayam K. Iyer M.D., P.a

  • Pain Medicine (Anesthesiology) Physician
  • Clearwater, FL
National Provider Identifier
1548377484
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME0044742 Issued in FL
Legal business name
JAYAM K. IYER M.D., P.A
Practice address
1012 Druid Rd E
Clearwater, FL 33756-5606
Phone
(727) 443-4242
Fax
(727) 441-1158
NPI assigned
Aug 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

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

Authorized official

Name
Jayam K. Iyer, M.D.
Title
Medical Director / Owner
Phone
(727) 443-4242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X ME0044742 FL Primary

Addresses

Primary practice location

1012 Druid Rd E
Clearwater, FL 33756-5606

Mailing address

1012 Druid Rd E
Clearwater, FL 33756-5606
Phone (727) 443-4242

Other identifiers 3

IdentifierTypeStateIssuer
02235OtherFLBC/BS
0864943OtherFLAETNA
2564338002OtherFLCIGNA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1548377484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 DRUID RD E",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337565606",
            "telephone_number": "727-443-4242",
            "fax_number": "727-441-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 DRUID RD E",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337565606",
            "telephone_number": "727-443-4242",
            "fax_number": "727-441-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYAM K. IYER M.D., P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "IYER",
        "authorized_official_first_name": "JAYAM",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR / OWNER",
        "authorized_official_telephone_number": "727-443-4242",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME0044742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "02235",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0864943",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2564338002",
            "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 Sep 22, 2008; 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.