Active NPI
Valerie Lynn Cosamano, PA-C
- Surgical Physician Assistant
- Clearwater, FL
National Provider Identifier
1093010720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA9105825
- Practice address
- 29277 US 19 N
Clearwater, FL 33761-2102 - Phone
- (727) 313-4764
- Fax
- (832) 804-8813
- NPI assigned
- Jan 11, 2011
- Last updated
- Oct 30, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9105825 | FL | |
| Surgical Physician Assistant | 363AS0400X | PA9105825 | FL | Primary |
| Surgical Assistant | 246ZC0007X | PA9105825 | FL |
Addresses
Primary practice location
29277 US 19 N
Clearwater, FL 33761-2102
Mailing address
7324 Southwest Fwy Ste 1550
Houston, TX 77074-2053
Phone (713) 779-9800
Other practice location 1
1888 Hillview St
Sarasota, FL 34239-3605
Phone (941) 917-8383
Other practice location 2
7324 Southwest Fwy Ste 1550
Houston, TX 77074-2053
Phone (713) 779-9800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E09767Y | Other | FL | MEDICARE PTAN |
| 003105600 | Medicaid | FL |
Other names 1
- Valerie Lynn Wengert
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9105825 | FL | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brazos Sa Services | Past | Accepting new patients | |
| Sunshine Surgical Assist Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Clearwater, FL
- NPI 1568090975
-
- Specialist
- Houston, TX
- NPI 1033382668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540857600000",
"number": "1093010720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7324 SOUTHWEST FWY STE 1550",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770742053",
"telephone_number": "713-779-9800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29277 US 19 N",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337612102",
"telephone_number": "727-313-4764",
"fax_number": "832-804-8813"
}
],
"practiceLocations": [
{
"address_1": "1888 Hillview St",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "342393605",
"country_code": "US",
"telephone_number": "941-917-8383",
"fax_number": "941-917-8930",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7324 Southwest Fwy Ste 1550",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770742053",
"country_code": "US",
"telephone_number": "713-779-9800",
"fax_number": "832-804-8816",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COSAMANO",
"first_name": "VALERIE",
"middle_name": "LYNN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-11",
"last_updated": "2018-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9105825",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA9105825",
"primary": true
},
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "FL",
"license": "PA9105825",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "E09767Y",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003105600",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VALERIE",
"last_name": "WENGERT",
"middle_name": "LYNN",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.