Helena Ellen McKinney - Bozorg, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME94348 Issued in FL

Practice address

2465 McMullen-Booth Road
Clearwater Primary Care Center
Clearwater, FL 33759-1368

Phone

(727) 725-5224

Fax

(727) 799-2183

NPI assigned

Aug 5, 2006

Last updated

Oct 24, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Helena Ellen Harris Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hospital Care Associates PA

  • Internal Medicine Physician
  • Tavares, FL
  • NPI 1619986403
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1750390175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2465 MCMULLEN-BOOTH ROAD",
            "address_2": "CLEARWATER PRIMARY CARE CENTER",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591368",
            "telephone_number": "727-725-5224",
            "fax_number": "727-799-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2465 MCMULLEN-BOOTH ROAD",
            "address_2": "CLEARWATER PRIMARY CARE CENTER",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591368",
            "telephone_number": "727-725-5224",
            "fax_number": "727-799-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY - BOZORG",
        "first_name": "HELENA",
        "middle_name": "ELLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME94348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273982800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HELENA",
            "last_name": "HARRIS",
            "middle_name": "ELLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kasey McKenna
• Renee E McKenney, MCAP
• Ashley McKenzie, RPH
• Richard Dale McKibben, DDS
• Katherine McKiel, PA-C
• Rosemary McKinney
• Erica McKnight, PSY.S.
• Mariah Suzanne McLead, MOT, OTR/L
• Cheryl Ann McLean, ARNP
• Dawn McMahon

• Internal Medicine Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.