Individual provider Active NPI

Lisa A Whims-Squires, D.O

  • Pulmonary Disease Physician
  • Clearwater, FL
National Provider Identifier
1831133446
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
0S6918 Issued in FL
Practice address
1305 South Ft. Harrison Ave.
BLDG. G
Clearwater, FL 33756
Phone
(727) 466-9847
Fax
(727) 466-0346
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 0S6918 FL Primary

Addresses

Primary practice location

1305 South Ft. Harrison Ave.
BLDG. G
Clearwater, FL 33756

Mailing address

2840 W Bay Dr
Suite 273
Belleair Bluffs, FL 33770-2620
Phone (727) 466-9847

Other identifiers 4

IdentifierTypeStateIssuer
9709589OtherDCGHI
256024100MedicaidFL
3617741OtherFLCIGNA
1745733OtherFLFIRST HEALTH

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
I20050816000609 FL Practitioner - Pulmonary Disease 8426088915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Nova Southeastern College of Osteo Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1305 S Fort Harrison Ave
BLDG G
Clearwater, FL 33756-3301
Phone (727) 466-9847

Hospital & facility affiliations

  • Mease Countryside Hospital Hospital, Safety Harbor, FL, CCN 100265
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
  • Mease Dunedin Hospital Hospital, Dunedin, FL, CCN 100043
  • Adventhealth North Pinellas Hospital, Tarpon Springs, FL, CCN 100055
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075

Merit-based Incentive Payment System (MIPS)

Final score
93.61 of 100Reported as individual
Quality
87.22
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0S6918FLMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Whims-Squires, D.O., PA Pulmonary Disease CurrentSince Jun 25, 2002 Accepting new patients

Locations

2840 West Bay Dr
Belleair Bluffs, FL 33770
Phone (727) 409-0173

1305 S Fort Harrison Ave
Ste A
Clearwater, FL 33756
Phone (727) 461-4600

1305 S Fort Harrison Ave
Ste G
Clearwater, FL 33756
Phone (727) 446-0600

Interoperability endpoints

  • Direct secure messaging: lisawhims-squires@psm.ssdirect.aprima.com

Organizations & group practices 1

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 6

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1831133446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 W BAY DR",
            "address_2": "SUITE 273",
            "city": "BELLEAIR BLUFFS",
            "state": "FL",
            "postal_code": "337702620",
            "telephone_number": "727-466-9847",
            "fax_number": "727-466-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 SOUTH FT. HARRISON AVE.",
            "address_2": "BLDG. G",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33756",
            "telephone_number": "727-466-9847",
            "fax_number": "727-466-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHIMS-SQUIRES",
        "first_name": "LISA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "0S6918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "9709589",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256024100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3617741",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1745733",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.