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CLEARWATER FAMILY MEDICINE AND ALLERGY PA NPI 1316255128


NPI Information

NPI: 1316255128
Provider Name: CLEARWATER FAMILY MEDICINE AND ALLERGY, PA

Former Legal Business Name: J. WAYNE PHILLIPS, MD, PA

Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization

CLIA Number: 10D2301346

Address:
708 DRUID RD E
CLEARWATER, FL
ZIP 33756
Phone: (727) 446-1097
Get Directions

CLEARWATER FAMILY MEDICINE AND ALLERGY, PA is an allergy immunology in Clearwater, FL. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. CLEARWATER FAMILY MEDICINE AND ALLERGY, PA NPI is 1316255128. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is J. Wayne Phillips, Md, Pa.

The provider's business location address is:

708 DRUID RD E
CLEARWATER, FL
ZIP 33756-914
Phone: (727) 446-1097
Fax: (727) 441-2195

The provider's authorized official is Rachel Lyon .
The authorized official title is Office Manager and has the following contact phone number (727) 446-1097.

The CLIA number assigned to this NPI record is 10D2301346 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/15/2010 and was last updated on 1/25/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133V00000XDietitian, RegisteredNo
2174400000XSpecialistME0025848FLORIDANo
3207KA0200XAllergy & ImmunologyAllergyNo
4207Q00000XFamily MedicineNo
52083B0002XPreventive MedicineObesity MedicineNo
6363L00000XNurse PractitionerNo
7363LF0000XNurse PractitionerFamilyNo
8363LP2300XNurse PractitionerPrimary CareNo
9207K00000XAllergy & ImmunologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1009813800MEDICAIDFLORIDA
2038210200MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.