Organization Active NPI

Statmed Quick Qualityclinc at North Pinellasllc

  • Urgent Care Clinic/Center
  • Clearwater, FL
National Provider Identifier
1649502170
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
09190534 Issued in FL
Legal business name
STATMED QUICK QUALITYCLINC AT NORTH PINELLASLLC
Practice address
2560 N McMullen Booth Rd
Clearwater, FL 33761-4182
Phone
(727) 726-1962
Fax
(727) 726-1606
NPI assigned
Feb 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

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

Authorized official

Name
Dr. Bryan Webster Cook, M.D.
Title
Medical Director
Phone
(727) 726-1962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 09190534 FL Primary

Addresses

Primary practice location

2560 N McMullen Booth Rd
Clearwater, FL 33761-4182

Mailing address

2560 N McMullen Booth Rd
Clearwater, FL 33761-4182
Phone (727) 726-1962

National Provider Directory

National Provider Directory

Locations

2560 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 726-1962

NPI Registry JSON

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1649502170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 N MCMULLEN BOOTH RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337614182",
            "telephone_number": "727-726-1962",
            "fax_number": "727-726-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 N MCMULLEN BOOTH RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337614182",
            "telephone_number": "727-726-1962",
            "fax_number": "727-726-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATMED QUICK QUALITYCLINC AT NORTH PINELLASLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-09",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "WEBSTER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "727-726-1962",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "09190534",
            "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 Feb 9, 2010; 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.