NPIMap

Individual provider Active NPI

Ugonna Uzochukwu Anyaugo, DPM

  • Foot & Ankle Surgery Podiatrist
  • Clearwater, FL
National Provider Identifier
1629237359
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3483 Issued in FL
Practice address
2521 Countryside Blvd
Clearwater, FL 33763-1605
Phone
(727) 797-5008
Fax
(727) 791-8517
NPI assigned
Jun 6, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO3483 FL Primary

Addresses

Primary practice location

2521 Countryside Blvd
Clearwater, FL 33763-1605

Mailing address

2521 Countryside Blvd
Clearwater, FL 33763-1605
Phone (727) 797-5008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110602000063 FL Practitioner - Podiatry 9931386869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bruce J Levine DPM PAGroup PAC ID 8224066923, 13 clinicians
Sports and Orthopedic Rehabilitation Services IncGroup PAC ID 0840104253, 314 clinicians

Practice addresses (Care Compare)

2521 Countryside Blvd
Clearwater, FL 33763-1605
Phone (727) 797-5008

5347 Main St
Suite 202
New Port Richey, FL 34652-2520
Phone (727) 841-0515

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Clearwater, FL, CCN 109687
  • Morton Plant North Bay Hospital Hospital, New Port Richey, FL, CCN 100063
  • Adventhealth North Pinellas Hospital, Tarpon Springs, FL, CCN 100055
  • Mease Countryside Hospital Hospital, Safety Harbor, FL, CCN 100265
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue205
Removal of skin lesions84
Removal of nail tissue363
Removal or shaving of skin growth161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3483FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce J Levine DPM PA Foot & Ankle Surgery CurrentSince Apr 18, 2011 Accepting new patients

Locations

2521 Countryside Blvd
Clearwater, FL 33763
Phone (727) 797-5008

8215 State Road 54
Bldg 3
Trinity, FL 34655
Phone (727) 376-6060

Interoperability endpoints

  • Direct secure messaging: uanyaugo@usfas.emadirect.md
  • Direct secure messaging: ugonna.anyaugo.2@21055.direct.athenahealth.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1629237359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 COUNTRYSIDE BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337631605",
            "telephone_number": "727-797-5008",
            "fax_number": "727-791-8517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 COUNTRYSIDE BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337631605",
            "telephone_number": "727-797-5008",
            "fax_number": "727-791-8517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANYAUGO",
        "first_name": "UGONNA",
        "middle_name": "UZOCHUKWU",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-06",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.