Raffaele D Giovannone, P.A. - C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA02131 Issued in TX

Practice address

1209 Highway 35 N
Suite a
Rockport, TX 78382-3117

Phone

(361) 729-9811

Fax

(361) 729-9819

NPI assigned

Aug 7, 2006

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502668800000",
    "number": "1124037049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 HIGHWAY 35 N",
            "address_2": "SUITE A",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783823117",
            "telephone_number": "361-729-9811",
            "fax_number": "361-729-9819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 HIGHWAY 35 N",
            "address_2": "SUITE A",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783823117",
            "telephone_number": "361-729-9811",
            "fax_number": "361-729-9819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIOVANNONE",
        "first_name": "RAFFAELE",
        "middle_name": "D",
        "credential": "P.A. - C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2017-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NUMBER",
            "identifier": "0089JJ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154482701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virginia Gayle Fleming-Randolph, PTA
• Jarod Hamilton Fowler, PHARM.D.
• Kari Marie Francis, RPH
• Nick Giannone, M.D.
• David Gilmore, M.D.
• Gulf Coast Mobile Imaging
• Gulfside Medical Clinic of Texas, PA
• Elvira Del Carmen Anita Gutierrez, LMT
• H-E-B, LP
• Elizabeth Victoria Hackleman, D.C.

• All providers in Rockport, TX
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2017; 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.