Edward James Noonan, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 2742 Issued in FL

Practice address

301 SE Osceola St
Stuart, FL 34994-2227

Phone

(772) 286-7081

Fax

(772) 286-7785

NPI assigned

Nov 20, 2007

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

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

Specialty

Physician Assistant

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mark R Kaiser M D PAGroup PAC ID 4880770817, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Mark R Kaiser M D PA

  • Dermatology Physician
  • Stuart, FL
  • NPI 1851480131
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1306027107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SE OSCEOLA ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942227",
            "telephone_number": "772-286-7081",
            "fax_number": "772-286-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SE OSCEOLA ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942227",
            "telephone_number": "772-286-7081",
            "fax_number": "772-286-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOONAN",
        "first_name": "EDWARD",
        "middle_name": "JAMES",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-20",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 2742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Noiseau
• Carolyn Nolan
• Michael Nolan, BCBA
• Teresa Nolen
• Christine Garland Nolley
• Elizabeth Noonan, LCSW
• Ashtin Blisse Norman
• Norpro Prosthetics & Orthotics, Inc
• Maureen Nortey
• Northland Hearing Centers, Inc.

• Physician Assistant in Stuart, FL
• Providers in Stuart, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.