CLEARWATER DERMATOLOGY, P.A.
NPI 1780659094
Dermatology in Clearwater, FL

Active since February 21, 2006
1122 DRUID RD E, CLEARWATER, FL 33756(727) 461-2282 Get Directions Write a Review

NPPES record last updated: December 30, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Clearwater Dermatology, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLEARWATER DERMATOLOGY, P.A. (NPI 1780659094) is a healthcare organization registered as a dermatology in Clearwater, Florida and active in the NPI registry since February 2006. The organization lists Roger Steven Golomb, President, as its authorized official.

NPPES Registry Identity

NPI1780659094
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCLEARWATER DERMATOLOGY, P.A.
Location Address1122 DRUID RD EClearwater, FL 33756-4100
Mailing Address1122 Druid Rd EClearwater, FL 33756-4100 · (727) 461-2282
Organization SubpartNo
Authorized OfficialRoger Steven GolombPresident · (727) 461-2282
Enumeration DateFebruary 21, 2006
Last NPPES UpdateDecember 30, 2013
NPI 1780659094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in FL · ME0021279
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

1122 DRUID RD E, Clearwater, FL 33756

Other Identifiers 5

Medicaid250114700FL
Medicare PIN77445FL
Other0300627FL · Uhc Group # Clwr Derm
Other0004563725FL · Aetna Prov Clwr Derm
Medicare PINCI8446FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology (MOHS-Micrographic Surgery)
1122 DRUID RD E
CLEARWATER, FL 33756
Nurse Practitioner (Family)
1122 DRUID RD E
CLEARWATER, FL 33756
Physician Assistant
1122 DRUID RD E
CLEARWATER, FL 33756
Nurse Practitioner
1122 DRUID RD E
CLEARWATER, FL 33756
Dermatology (Procedural Dermatology)
1122 DRUID RD E
CLEARWATER, FL 33756

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clearwater Dermatology, P.A.'s NPI number?

The NPI number for Clearwater Dermatology, P.A. is 1780659094. It was assigned to this organization in the NPPES registry on February 21, 2006.

Where is Clearwater Dermatology, P.A. located?

Clearwater Dermatology, P.A. is located at 1122 Druid Rd E, Clearwater, FL 33756. The listed phone number is (727) 461-2282.

What is Clearwater Dermatology, P.A.'s specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Clearwater Dermatology, P.A. was last updated on December 30, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.