Active NPI
Joseph A Mirville Jr., PA-C
- Surgical Physician Assistant
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA9109111
- Practice address
- 2 Tampa General Cir
Tampa, FL 33606-3571 - Phone
- (813) 821-8038
- NPI assigned
- Nov 9, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA9109111 | FL | Primary |
Addresses
Primary practice location
2 Tampa General Cir
Tampa, FL 33606-3571
Mailing address
PO Box 917770
Orlando, FL 32891-0001
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jmirville279654@direct.tgh.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1700 S Tamiami Trail
FPG Central Billing Office
Sarasota, FL 34239-3509
1700 S Tamiami TRL
Sarasota, FL 34239-3509
Phone (941) 917-7760
1921 Waldemere St
Sarasota, FL 34239-2941
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Service Association Inc | Current | Accepting new patients | |
| Port Charlotte Hma Physician Management LLC | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients | |
| Topeka Physician Group, LLC | Current | Accepting new patients | |
| SMH Physician Services Inc | Current | Accepting new patients | |
| Tampa General Hospital | Current | Accepting new patients | |
| Cardiology Consultants | Past | Accepting new patients | |
| University Medical Service Association Inc | Past | Accepting new patients |
Locations
1641 Tamiami Trl
Ste 2
Pt Charlotte, FL 33948
Phone (941) 255-3499
1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565
4202 E Fowler Ave
Stop SHS100
Tampa, FL 33620
Phone (813) 974-2331
2 Tampa General Cir
Tampa, FL 33606
Phone (813) 259-8700
1700 SW 7th St
Fl 2
Topeka, KS 66606
Phone (785) 295-7800
1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310
600 SW College Ave
Topeka, KS 66606
Phone (785) 233-0292
Networks
- Freedom Health HMO Network
Interoperability endpoints
- jmirville828946@ahs.direct-ci.com
- jmirville279654@direct.tgh.org
- jmirville341412@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Sarasota, FL
- NPI 1346295292
-
- Family Medicine Physician
- Punta Gorda, FL
- NPI 1003985573
-
- Internal Medicine Physician
- Topeka, KS
- NPI 1770008849
-
- Physical Therapist
- Tampa, FL
- NPI 1992742324
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Durable Medical Equipment & Medical Supplies
- Tampa, FL
- NPI 1194276576
-
- General Practice Physician
- Tampa, FL
- NPI 1326088295
-
- Specialist
- St Petersburg, FL
- NPI 1811940802
-
- Neurological Surgery Physician
- Tampa, FL
- NPI 1740227966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746662400000",
"number": "1043683311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 917770",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328910001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 TAMPA GENERAL CIR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063571",
"telephone_number": "813-821-8038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRVILLE",
"first_name": "JOSEPH",
"middle_name": "A",
"name_suffix": "Jr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-09",
"last_updated": "2025-05-08",
"certification_date": "2025-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA9109111",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jmirville279654@direct.tgh.org",
"affiliation": "N",
"address_1": "2 Tampa General Cir",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336063571",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.