Organization Active NPI

Bayside Urology PA

  • Urology Physician
  • Clearwater, FL
National Provider Identifier
1720005721
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
BAYSIDE UROLOGY PA
Practice address
501 S Lincoln Ave
#11
Clearwater, FL 33756
Phone
(727) 443-4505
Fax
(727) 441-9879
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Authorized official

Name
Cesar R Abreu, MD
Title
President Physician
Phone
(727) 443-4505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

501 S Lincoln Ave
#11
Clearwater, FL 33756

Mailing address

501 S Lincoln Ave
#11
Clearwater, FL 33756
Phone (727) 443-4505

National Provider Directory

National Provider Directory

Locations

501 S Lincoln Ave
Ste 11
Clearwater, FL 33756
Phone (727) 443-4505

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1720005721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S LINCOLN AVE",
            "address_2": "#11",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33756",
            "telephone_number": "727-443-4505",
            "fax_number": "727-441-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S LINCOLN AVE",
            "address_2": "#11",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33756",
            "telephone_number": "727-443-4505",
            "fax_number": "727-441-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE UROLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "ABREU",
        "authorized_official_first_name": "CESAR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT PHYSICIAN",
        "authorized_official_telephone_number": "727-443-4505",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "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 Dec 1, 2011; 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.