Clearwater Surgical Associates, PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

CLEARWATER SURGICAL ASSOCIATES, PLLC

Practice address

8839 Bryan Dairy Road
Suite 310
Largo, FL 33777

Phone

(727) 446-5681

Fax

(727) 442-5505

NPI assigned

Oct 8, 2009

Last updated

Oct 8, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kurt V. Erickson, M.D.NPI 1790784445

Title

Managing Partner

Phone

(727) 446-5681

Specialties & licenses 1

Addresses

Locations

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.

• Kurt Victore Erickson, MD

  • Specialist
  • Clearwater, FL
  • NPI 1790784445
  NPD Authorized official

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254960000000",
    "number": "1811222847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 DRUID ROAD SOUTH",
            "address_2": "SUITE 301",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33756",
            "telephone_number": "727-446-5681",
            "fax_number": "727-442-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8839 BRYAN DAIRY ROAD",
            "address_2": "SUITE 310",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "33777",
            "telephone_number": "727-446-5681",
            "fax_number": "727-442-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARWATER SURGICAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-08",
        "last_updated": "2009-10-08",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "727-446-5681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique J Clark
• Claudette M Parham (Psychiatric Homecare)
• Jillian Clavenna, PA
• Clean Life Detox
• Clearwater Cardiovascular and Interventional Consultants MD PA (Clearwater Cardiovascular Consultants)
• Jennifer Ann Clemans
• Martin Clemmons, D.O.
• Jasmin Click
• Andrew Scott Clifford
• Kayte Clifford, M.S. SLP

• Surgery Physician in Largo, FL
• Providers in Largo, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; 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.