Individual provider Active NPI

Anthony P Moreno, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Clearwater, FL
National Provider Identifier
1801867445
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
ME68236 Issued in FL
Practice address
3251 N McMullen Booth Rd Ste 301
Clearwater, FL 33761-2022
Phone
(727) 669-5300
Fax
(727) 669-5366
NPI assigned
Jan 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X ME68236 FL Primary

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

2808 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6306
Phone (813) 870-1206

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
I20070411000473 FL Practitioner - Orthopedic Surgery 5193619195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of South Florida College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians
Sports and Orthopedic Rehabilitation Services IncGroup PAC ID 0840104253, shared by 4 NPIs, 314 clinicians

Practice addresses (Care Compare)

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

3231 McMullen Booth Rd
Safety Harbor, FL 34695-6607
Phone (727) 725-6526

3251 N McMullen Booth Rd
Clearwater, FL 33761-2022

5347 Main St
Suite 202
New Port Richey, FL 34652-2520
Phone (727) 841-0515

Hospital & facility affiliations

  • Baycare Home Care Inc Home health agency, Dunedin, FL, CCN 107415
  • Mease Countryside Hospital Hospital, Safety Harbor, FL, CCN 100265
  • Mease Dunedin Hospital Hospital, Dunedin, FL, CCN 100043
  • Adventhealth Tampa Hospital, Tampa, FL, CCN 100173
  • AdventHealth Carrollwood Hospital, Tampa, FL, CCN 100069
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion95
Laminectomy or laminotomy (partial removal of spine bones)41

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. Current Accepting new patients
Baycare Medical Group, Inc. CurrentSince Nov 1, 2022 Accepting new patients
Spinecare Associates, LLC PastSince Jun 15, 2002 Accepting new patients
The Clearwater Orthopaedic ASC LLC Past Accepting new patients
Moreno Spine and Scoliosis Past Accepting new patients

Locations

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

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

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

Interoperability endpoints

  • Direct secure messaging: anthony.morenomd@direct.mybaycare.org

Organizations & group practices 5

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1801867445",
    "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": "2808 W Dr Martin Luther King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336076306",
            "country_code": "US",
            "telephone_number": "813-870-1206",
            "fax_number": "727-669-5366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORENO",
        "first_name": "ANTHONY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "FL",
            "license": "ME68236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.