Organization Active NPI

Southeast Regional Arthritis Center, Inc.

  • Rheumatology Physician
  • Clearwater, FL
National Provider Identifier
1962452151
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
SOUTHEAST REGIONAL ARTHRITIS CENTER, INC.
Practice address
2221 Kent PL
Clearwater, FL 33764-6624
Phone
(727) 447-3434
Fax
(727) 447-6969
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

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

Authorized official

Name
Mrs. Sally M Marlowe, ARNP
Title
Owner
Phone
(727) 447-3434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

2221 Kent PL
Clearwater, FL 33764-6624

Mailing address

PO Box 5227
Clearwater, FL 33758-5227
Phone (727) 447-3434

Other identifiers 2

IdentifierTypeStateIssuer
033416200MedicaidFL
DE5891OtherFLRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

1700 N McMullen Booth Rd
Ste C1C2
Clearwater, FL 33759
Phone (727) 723-1454

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1962452151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5227",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337585227",
            "telephone_number": "727-447-3434",
            "fax_number": "727-447-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 KENT PL",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337646624",
            "telephone_number": "727-447-3434",
            "fax_number": "727-447-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST REGIONAL ARTHRITIS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "MARLOWE",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-447-3434",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033416200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE5891",
            "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 Nov 16, 2015; 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.