Northwood Surgical Group

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

NORTHWOOD SURGICAL GROUP

Practice address

3001 Eastland Blvd
Ste 3
Clearwater, FL 33761-4104

Phone

(727) 797-0500

Fax

(727) 797-0050

NPI assigned

Apr 28, 2009

Organization subpart

No

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

Authorized official

Name

David Wall, M.D.

Title

Managing Partner

Phone

(727) 797-0500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241481600000",
    "number": "1962646471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 EASTLAND BLVD",
            "address_2": "STE 3",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337614104",
            "telephone_number": "727-797-0500",
            "fax_number": "727-797-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 EASTLAND BLVD",
            "address_2": "STE 3",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337614104",
            "telephone_number": "727-797-0500",
            "fax_number": "727-797-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWOOD SURGICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-28",
        "last_updated": "2009-05-05",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "727-797-0500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwood Anesthesia Associates LLC
• Northwood Anesthesia Associates LLC
• Northwood Dental LLC
• Northwood Medical Center, PA
• Northwood Surgery Center, P.L.
• Northwood Vision Center
• Heather R Norton, M.D.
• Daniel Anthony Nosek, MD
• Jessica Novotny, PHARM.D.
• Aaron Jacob Nowak

• Multi-Specialty Clinic/Center in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.