Smart ER Urgent Care LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

SMART ER URGENT CARE LLC

Practice address

130 Island Way
Clearwater, FL 33767-2216

Phone

(727) 330-3844

Fax

(407) 302-9899

NPI assigned

Aug 11, 2022

Last updated

Dec 30, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andreas M Grossgold, MDNPI 1750638243

Title

Ceo

Phone

(727) 330-3844

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 7

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.

• Andreas Menesses Grossgold, M.D

  • Internal Medicine Physician
  • Clearwater, FL
  • NPI 1750638243
  Medicare reassignment NPD Authorized official
• Raven Alexys Coe, MPAS, PA-C

  • Physician Assistant
  • Seffner, FL
  • NPI 1639814577
  Medicare reassignment
• Korina Jade Nance, PA-C

  • Physician Assistant
  • Bradenton, FL
  • NPI 1477027266
  Medicare reassignment
• Sean Worix, PA-C

  • Physician Assistant
  • Oldsmar, FL
  • NPI 1831886001
  Medicare reassignment
• Dennis Michael Eroh, PA-C

  • Physician Assistant
  • Clearwater, FL
  • NPI 1710734850
  NPD (past)
• Robert Walter Lufkin, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • St Petersburg, FL
  • NPI 1356319024
  NPD (past)
• Jennifer McCleary, PA-C

  • Physician Assistant
  • Largo, FL
  • NPI 1861938334
  NPD (past)

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672358400000",
    "number": "1710615232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 LAKEVIEW RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563335",
            "telephone_number": "727-330-3844",
            "fax_number": "407-302-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 ISLAND WAY",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337672216",
            "telephone_number": "727-330-3844",
            "fax_number": "407-302-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART ER URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A",
        "authorized_official_last_name": "GROSSGOLD",
        "authorized_official_first_name": "ANDREAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-330-3844",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNAL MEDICINE",
            "identifier": "1750638243",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Robin J Sloan
• Judith Sly, RPT
• Amy Smajstrla
• Athina Smalios, LCSW
• Amanda Smay, PA-C
• Amber Jean Smetzer
• Smile Bright Dental, CW, LLC
• Smith Health Care Properties - Clearwater (Edgewater Retirement Manor)
• Smith Winquist & Associates MD PA (Gulf Coast Pathologists)

• Urgent Care Clinic/Center in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Urgent Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.