Individual provider Active NPI

Ronald G Hayter, MD

  • Orthopaedic Surgery Physician
  • Clearwater, FL
National Provider Identifier
1790778769
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME0058632 Issued in FL
Practice address
1799 N Belcher Rd Ste B
Clearwater, FL 33765-1324
Phone
(727) 953-9492
Fax
(866) 954-2553
NPI assigned
Aug 25, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME0058632 FL Primary

Addresses

Primary practice location

1799 N Belcher Rd Ste B
Clearwater, FL 33765-1324

Mailing address

1799 N Belcher Rd Ste B
Clearwater, FL 33765-1324
Phone (727) 953-9492

Other identifiers 1

IdentifierTypeStateIssuer
372802100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100527000755 FL Practitioner - Orthopedic Surgery 9931238011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0058632FLMDOrthopaedic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1790778769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1799 N BELCHER RD STE B",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651324",
            "telephone_number": "727-953-9492",
            "fax_number": "866-954-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 N BELCHER RD STE B",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651324",
            "telephone_number": "727-953-9492",
            "fax_number": "866-954-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYTER",
        "first_name": "RONALD",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME0058632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372802100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.