Active NPI
Margolin MD PA
- Otolaryngology Physician
- Clearwater, FL
National Provider Identifier
1891994836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- MARGOLIN MD PA
- Practice address
- 501 S Lincoln Ave
Suite 26
Clearwater, FL 33756-5945 - Phone
- (727) 442-2193
- Fax
- (727) 466-6483
- NPI assigned
- Jul 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jerry Alan Margolin, M.D.
- Title
- President
- Phone
- (727) 442-2193
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary |
Addresses
Primary practice location
501 S Lincoln Ave
Suite 26
Clearwater, FL 33756-5945
Mailing address
501 S Lincoln Ave
Suite 26
Clearwater, FL 33756-5945
Phone (727) 442-2193
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 049423200 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
501 S Lincoln Ave
Ste 26
Clearwater, FL 33756
Phone (727) 442-2193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287446400000",
"number": "1891994836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 S LINCOLN AVE",
"address_2": "SUITE 26",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337565945",
"telephone_number": "727-442-2193",
"fax_number": "727-466-6483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S LINCOLN AVE",
"address_2": "SUITE 26",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337565945",
"telephone_number": "727-442-2193",
"fax_number": "727-466-6483"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARGOLIN MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-11",
"last_updated": "2010-10-19",
"status": "A",
"authorized_official_last_name": "MARGOLIN",
"authorized_official_first_name": "JERRY",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "727-442-2193",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "049423200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.