Individual provider Active NPI

Maria Angelica Boyle, P.A.-C

  • Medical Physician Assistant
  • Clearwater, FL
National Provider Identifier
1063579845
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9102624 Issued in FL
Practice address
920 S. Myrtle Ave
Ste#a
Clearwater, FL 33756-3918
Phone
(727) 462-0444
Fax
(727) 462-0446
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9102624 FL Primary

Addresses

Primary practice location

920 S. Myrtle Ave
Ste#a
Clearwater, FL 33756-3918

Mailing address

920 S. Myrtle Ave
Ste#a
Clearwater, FL 33756-3918
Phone (727) 462-0444

Other identifiers 1

IdentifierTypeStateIssuer
PA9102624OtherFLLICENSE #

Other names 1

  • Ms. Maria Angelica Raffinan Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100916000396 FL Practitioner - Physician Assistant 1850333964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Central Gastroenterology LLPGroup PAC ID 0648322362, 82 clinicians

Practice addresses (Care Compare)

3001 Executive Dr
Suite 130
Clearwater, FL 33762-5323
Phone (727) 347-0005

3180 Curlew Rd
Unit 105
Oldsmar, FL 34677-2629
Phone (727) 462-0444

6225 66 St N
Pinellas Park, FL 33781-5025
Phone (727) 521-0994

920 S Myrtle Ave
Suite a
Clearwater, FL 33756-3916
Phone (727) 462-0444

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9102624FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Digestive Care P a PastSince Nov 1, 2004 Accepting new patients

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1063579845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 S. MYRTLE AVE",
            "address_2": "STE#A",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563918",
            "telephone_number": "727-462-0444",
            "fax_number": "727-462-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 S. MYRTLE AVE",
            "address_2": "STE#A",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563918",
            "telephone_number": "727-462-0444",
            "fax_number": "727-462-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "MARIA",
        "middle_name": "ANGELICA",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9102624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "PA9102624",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "RAFFINAN",
            "middle_name": "ANGELICA",
            "prefix": "MS.",
            "credential": "P.A.-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.