William Stephen Maistrellis, M.D

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME19478 Issued in FL

Practice address

1217 Ewing Avenue
Clearwater, FL 33756

Phone

(727) 446-3021

Fax

(727) 446-7423

NPI assigned

Jul 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Clearwater Family Practice, PA

  • Family Medicine Physician
  • Clearwater, FL
  • NPI 1770602039
  NPD (past)

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1962401695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 EWING AVENUE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33756",
            "telephone_number": "727-446-3021",
            "fax_number": "727-461-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 EWING AVENUE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33756",
            "telephone_number": "727-446-3021",
            "fax_number": "727-446-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAISTRELLIS",
        "first_name": "WILLIAM",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME19478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hattie K Mahoney
• Jonathan Mai, DO
• Margaret Mailhot, NP
• Karen Lee Main, BSW
• Amity Layne Mainridge, LPC
• Adam Christopher Major, ARNP
• Jessica Joyce Major, LPN
• Suleniss Malave
• Klara Malci, COTA
• Katherine Daley Malcolm, BS

• Specialist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.