Active NPI
Jon-Michael Degidio
- Anesthesiologist Assistant
- Trinity, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- AA584
- Practice address
- 9330 State Road 54
Trinity, FL 34655-1808 - Phone
- (727) 834-4000
- NPI assigned
- Jul 10, 2020
- Last updated
- Mar 6, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 135-0000069 | VT | |
| Anesthesiologist Assistant | 367H00000X | AA584 | FL | Primary |
Addresses
Primary practice location
9330 State Road 54
Trinity, FL 34655-1808
Mailing address
1117 17TH St N
St Petersburg, FL 33713-5719
Phone (954) 770-2837
Other practice location 1
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-2415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT, DC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AA584 | FL | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf-to-Bay Anesthesiology Associates LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Gulf-to-Bay Anesthesiology Associates LLC | Current | Accepting new patients | |
| Sunshine State Anesthesia Partners LLC | Current | Accepting new patients | |
| American Anesthesiology Services of Florida, Inc. | Current | Accepting new patients | |
| Medstar Medical Group Anesthesiology LLC | Current | Accepting new patients | |
| Medstar Medical Group Anesthesiology LLC | Current | Accepting new patients | |
| University of Vermont Medical Center Inc | Current | Accepting new patients | |
| Gulf-to-Bay Anesthesiology Associates LLC | Current | Accepting new patients |
Locations
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153
4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005
15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200
14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929
21298 Olean Blvd
Pt Charlotte, FL 33952
Phone (941) 624-7032
6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000
6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411
4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145
9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000
1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822
7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000
130 Fisher Rd
Berlin, VT 05602
Phone (802) 225-5820
1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531
111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415
Organizations & group practices 10
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.
-
dba Uvm Medical Center
- Internal Medicine Physician
- Burlington, VT
- NPI 1659309615
-
dba MMG Anesthesiology LLC
- Anesthesiology Physician
- Baltimore, MD
- NPI 1528578333
DC
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1154658318
-
- Anesthesiology Physician
- Largo, FL
- NPI 1316205339
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1720039746
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1437757127
-
- Anesthesiology Physician
- Melville, NY
- NPI 1508318387
-
- Anesthesiology Physician
- Washington, DC
- NPI 1558976175
-
- Critical Care Medicine (Internal Medicine) Physician
- Washington, DC
- NPI 1205562816
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Burlington, VT
- NPI 1568419976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678060800000",
"number": "1144848649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1117 17TH ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337135719",
"telephone_number": "954-770-2837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9330 STATE ROAD 54",
"city": "TRINITY",
"state": "FL",
"postal_code": "346551808",
"telephone_number": "727-834-4000"
}
],
"practiceLocations": [
{
"address_1": "111 Colchester Ave",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "VT",
"postal_code": "054011473",
"country_code": "US",
"telephone_number": "802-847-2415",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEGIDIO",
"first_name": "JON-MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-07-10",
"last_updated": "2023-03-06",
"certification_date": "2023-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "VT",
"license": "135-0000069",
"primary": false
},
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "FL",
"license": "AA584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trinity, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.