Organization Active NPI

Moreno Spine and Scoliosis PLLC

  • Orthopaedic Surgery of the Spine Physician
  • Clearwater, FL
National Provider Identifier
1730238718
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
MORENO SPINE AND SCOLIOSIS PLLC
Practice address
3251 N McMullen Booth Rd Ste 301
Clearwater, FL 33761-2022
Phone
(727) 669-5300
Fax
(727) 669-5366
NPI assigned
Jan 9, 2007
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Anthony Peter Moreno, M.D.NPI 1801867445
Title
President
Phone
(727) 669-5300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X Primary
Physical Medicine & Rehabilitation Physician 208100000X

Addresses

Primary practice location

3251 N McMullen Booth Rd Ste 301
Clearwater, FL 33761-2022

Mailing address

3251 N McMullen Booth Rd Ste 301
Clearwater, FL 33761-2022
Phone (727) 669-5300

Other practice location 1

1800 Mease Dr
Safety Harbor, FL 34695-4659
Phone (727) 669-5300

Other practice location 2

1800 Mease Dr
Safety Harbor, FL 34695-4659
Phone (727) 669-5300

National Provider Directory

National Provider Directory

Locations

3251 N McMullen Booth Rd
Ste 301
Clearwater, FL 33761
Phone (727) 669-5300

1800 Mease Dr
Safety Harbor, FL 34695
Phone (727) 669-5300

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1730238718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 N MCMULLEN BOOTH RD STE 301",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612022",
            "telephone_number": "727-669-5300",
            "fax_number": "727-669-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 N MCMULLEN BOOTH RD STE 301",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612022",
            "telephone_number": "727-669-5300",
            "fax_number": "727-669-5366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Mease Dr",
            "address_purpose": "LOCATION",
            "city": "Safety Harbor",
            "state": "FL",
            "postal_code": "346954659",
            "country_code": "US",
            "telephone_number": "727-669-5300",
            "fax_number": "727-669-5366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Mease Dr",
            "address_purpose": "LOCATION",
            "city": "Safety Harbor",
            "state": "FL",
            "postal_code": "346954659",
            "country_code": "US",
            "telephone_number": "727-669-5300",
            "fax_number": "727-669-5366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MORENO SPINE AND SCOLIOSIS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-669-5300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Mar 17, 2018; 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.