Organization Active NPI

Palermo MD PA

  • Pain Medicine (Anesthesiology) Physician
  • Clearwater, FL
National Provider Identifier
1972606150
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
PALERMO MD PA
Practice address
1130 Ponce de Leon Blvd
Clearwater, FL 33756-1041
Phone
(727) 581-4800
Fax
(727) 828-0723
NPI assigned
Sep 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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

Authorized official

Name
Louis Palermo, MD
Title
Owner / Provider
Phone
(727) 823-2188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

1130 Ponce de Leon Blvd
Clearwater, FL 33756-1041

Mailing address

PO Box 23506
Tampa, FL 33623-3506
Phone (727) 823-2188

Other identifiers 1

IdentifierTypeStateIssuer
DD5549OtherFLRR MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1972606150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23506",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336233506",
            "telephone_number": "727-823-2188",
            "fax_number": "727-828-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 PONCE DE LEON BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337561041",
            "telephone_number": "727-581-4800",
            "fax_number": "727-828-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALERMO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "PALERMO",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "727-823-2188",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DD5549",
            "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 Mar 30, 2011; 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.