Karen M Debaron, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA0002376 Issued in FL

Practice address

315 75TH St W
Bradenton, FL 34209-3201

Phone

(941) 761-1616

Fax

(941) 761-3807

NPI assigned

Dec 2, 2005

Last updated

May 14, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bayside Emergency Physicians PA

  • Emergency Medicine Physician
  • St Petersburg, FL
  • NPI 1396171518
  Medicare reassignment
• Ambulatory Care Physicians of Sarasota LLC

  • General Practice Physician
  • Sarasota, FL
  • NPI 1417986084
  NPD (past)
• Northport Emergency Associates, PA

  • Emergency Medical Services (Emergency Medicine) Physician
  • North Port, FL
  • NPI 1881835569
  NPD (past)
• Sarasota Emergency Associates PA

  • Emergency Medicine Physician
  • Sarasota, FL
  • NPI 1831175306
  NPD (past)

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273795200000",
    "number": "1053395061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 75TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093201",
            "telephone_number": "941-761-1998",
            "fax_number": "941-761-3807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 75TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093201",
            "telephone_number": "941-761-1616",
            "fax_number": "941-761-3807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBARON",
        "first_name": "KAREN",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-02",
        "last_updated": "2010-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA0002376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2904900000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00122268",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arielle De la Cruz
• Hector Julio De Los Santos Hernandez, MD
• John Jeffrey Deal, PA
• Amy Jo Dean, ARNP
• Deanna L Mann, PLLC
• Debbie C. Sheneman NP-C Inc
• Denise Debone, ARNP
• Debra K Carter PH D & Associates PA (Carter Psychology Center)
• Jessica Decanio
• Margaret Patricia Deckinga, MS, CCC-SLP

• Medical Physician Assistant in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.