Individual provider Active NPI

Barry M. Rodwick, M. D.

  • Internal Medicine Physician
  • Clearwater, FL
National Provider Identifier
1720084445
Registry record updated Feb 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0056513 Issued in FL
Practice address
2349 Sunset Point Rd
Suite 405
Clearwater, FL 33765-1456
Phone
(727) 216-6193
Fax
(727) 216-4992
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0056513 FL Primary

Addresses

Primary practice location

2349 Sunset Point Rd
Suite 405
Clearwater, FL 33765-1456

Mailing address

2349 Sunset Point Rd
Suite 405
Clearwater, FL 33765-1456
Phone (727) 216-6193

Other identifiers 2

IdentifierTypeStateIssuer
063224400MedicaidFL
666778OtherFLAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0056513FLMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361145600000",
    "number": "1720084445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2349 SUNSET POINT RD",
            "address_2": "SUITE 405",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651456",
            "telephone_number": "727-216-6193",
            "fax_number": "727-216-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2349 SUNSET POINT RD",
            "address_2": "SUITE 405",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651456",
            "telephone_number": "727-216-6193",
            "fax_number": "727-216-4992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODWICK",
        "first_name": "BARRY",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2013-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0056513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063224400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "666778",
            "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 Feb 18, 2013; 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.