Individual provider Active NPI

Valerie Lynn Cosamano, PA-C

  • Surgical Physician Assistant
  • Clearwater, FL
National Provider Identifier
1093010720
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9105825 Issued in FL
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
E09767YOtherFLMEDICARE PTAN
003105600MedicaidFL

Other names 1

  • Valerie Lynn Wengert Former name

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

LicenseStateTypeSpecialty
PA9105825FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Brazos Sa Services Past Accepting new patients
Sunshine Surgical Assist Inc PastSince Apr 5, 2020 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.

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.

Verify at the official NPI Registry.