Organization Active NPI

The Florida Knee and Orthopedic Pavilion, P.a.

  • Orthopaedic Surgery Physician
  • Clearwater, FL
National Provider Identifier
1558715250
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
THE FLORIDA KNEE AND ORTHOPEDIC PAVILION, P.A.
Practice address
1831 N Belcher Rd
Suite E-2
Clearwater, FL 33765-1449
Phone
(727) 953-9492
Fax
(727) 470-9457
NPI assigned
Apr 19, 2016
Last updated
Jun 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Authorized official

Name
Dr. Ronald Gary Hayter, M.D.NPI 1790778769
Title
Owner
Phone
(727) 953-9492

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary

Addresses

Primary practice location

1831 N Belcher Rd
Suite E-2
Clearwater, FL 33765-1449

Mailing address

1831 N Belcher Rd
Suite E-2
Clearwater, FL 33765-1449
Phone (727) 953-9492

Other identifiers 1

IdentifierTypeStateIssuer
372802100MedicaidFL

National Provider Directory

National Provider Directory

Locations

1831 N Belcher Rd
Ste E2
Clearwater, FL 33765
Phone (727) 228-2388

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1558715250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 N BELCHER RD",
            "address_2": "SUITE E-2",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651449",
            "telephone_number": "727-953-9492",
            "fax_number": "727-470-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 N BELCHER RD",
            "address_2": "SUITE E-2",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651449",
            "telephone_number": "727-953-9492",
            "fax_number": "727-470-9457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FLORIDA KNEE AND ORTHOPEDIC PAVILION, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "HAYTER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-953-9492",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372802100",
            "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 Jun 13, 2016; 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.