John J Mahany Jr., PA C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA04672 Issued in TX

Practice address

4031 Upper Creek Dr
Sun City Center, FL 33573-6819

Phone

(813) 633-2733

Fax

(813) 642-0367

NPI assigned

Dec 9, 2005

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/_equjXi-I6k5_iN9ulQyh3xNMVDgQ7-w/

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.

• Tampa Bay Radiation Oncology, PA

  • Radiation Oncology Physician
  • Brandon, FL
  • NPI 1376511089
  NPD (past)
• Cancer Healthcare Associates

  • Hematology & Oncology Physician
  • San Antonio, TX
  • NPI 1548263346
  NPD (past)

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329609600000",
    "number": "1144205394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4031 UPPER CREEK DR",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736819",
            "telephone_number": "813-633-2733",
            "fax_number": "813-642-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4031 UPPER CREEK DR",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736819",
            "telephone_number": "813-633-2733",
            "fax_number": "813-642-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHANY",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2012-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA04672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL LIC",
            "identifier": "PA2322",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yana Grace Lundblad, PHARMD
• Allison Lyle
• Junior Macias Madaula, MD
• Magnolia Senior Living
• Emily Suzanne Maguire, OTR/L
• Harry Richard Mahew Jr., RPH
• Jeanne Michele Maiello, APRN
• Manatee Hearing & Speech Center Inc
• Edward Vincent March, LCAS, CASAC-M, LADC
• Lisa Christine Markin, COTA

• Medical Physician Assistant in Sun City Center, FL
• Providers in Sun City Center, 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 Feb 19, 2012; 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.