Individual provider Active NPI

Marianne Milos, PA

  • Medical Physician Assistant
  • New Port Richey, FL
National Provider Identifier
1215973623
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9100902 Issued in FL
Practice address
5622 Marine Pkwy
New Port Richey, FL 34652-4333
Phone
(727) 846-7031
Fax
(727) 846-7132
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9100902 FL Primary

Addresses

Primary practice location

5622 Marine Pkwy
New Port Richey, FL 34652-4333

Mailing address

5622 Marine Pkwy
New Port Richey, FL 34652-4330
Phone (727) 846-7031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160122000329 FL Practitioner - Physician Assistant 3375846504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Central Gastroenterology LLPGroup PAC ID 0648322362, 82 clinicians

Practice addresses (Care Compare)

10820 State Rd
54 Suite 201
Trinity, FL 34655-2291
Phone (727) 846-7031

3001 Executive Dr
Suite 130
Clearwater, FL 33762-5323
Phone (727) 347-0005

6225 66 St N
Pinellas Park, FL 33781-5025
Phone (727) 521-0994

7515 State Rd
52 Suite 105
Hudson, FL 34667-6757
Phone (727) 846-7031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1215973623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5622 MARINE PKWY",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524330",
            "telephone_number": "727-846-7031",
            "fax_number": "727-846-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5622 MARINE PKWY",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524333",
            "telephone_number": "727-846-7031",
            "fax_number": "727-846-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILOS",
        "first_name": "MARIANNE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9100902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.