Active NPI
Harold Hidalgo, PA-C
- Physician Assistant
- Clearwater, FL
National Provider Identifier
1154562239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9106611
- Practice address
- 26236 US Highway 19 N
Clearwater, FL 33761-3580 - Phone
- (727) 953-3599
- NPI assigned
- Mar 18, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9106611 | FL | Primary |
Addresses
Primary practice location
26236 US Highway 19 N
Clearwater, FL 33761-3580
Mailing address
1010 Buttercup GLN
Bradenton, FL 34212-5010
Phone (630) 400-8376
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9106611 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MW Wellness Xiii | Current | Accepting new patients | |
| Palumbo Wellness LLC | Current | Accepting new patients | |
| Gautam Gupta MD LLC | Past | Accepting new patients |
Locations
26236 US Highway 19 N
Clearwater, FL 33761
Phone (727) 953-3599
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1629875034
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1881295798
-
- Internal Medicine Physician
- Rockford, IL
- NPI 1396063046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714694400000",
"number": "1154562239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 BUTTERCUP GLN",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342125010",
"telephone_number": "630-400-8376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26236 US HIGHWAY 19 N",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337613580",
"telephone_number": "727-953-3599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIDALGO",
"first_name": "HAROLD",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-18",
"last_updated": "2024-05-03",
"certification_date": "2024-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9106611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
- Linda P Hickling, LCSWR
- David L. Hicks, D.O.
- Jennifer Joan Hicks, MA, BCBA
- Joseph Lyle Hicks, DC
- Tammie Lynn Hicks, COTA/L
- Gregory P Hietpas, M.A., L.M.H.C.
- High Point Medical LLC
- Highland Pharmacy Inc
- Highland Pines Rehabilitation and Nursing Center, LLC
- Highland Pines Rehabilitation and Nursing Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.