Individual provider Active NPI

Thomas D. Giovinazzo, PA

  • Physician Assistant
  • Phoenixville, PA
National Provider Identifier
1316923345
Registry record updated Oct 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA050659 Issued in PA
Practice address
824 Main St
Ste. 302
Phoenixville, PA 19460-4478
Phone
(610) 983-1561
Fax
(610) 983-1569
NPI assigned
Dec 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X MA050659 PA
Physician Assistant 363A00000X MA050659 PA Primary

Addresses

Primary practice location

824 Main St
Ste. 302
Phoenixville, PA 19460-4478

Mailing address

1555 W Street Rd
Ste. 302
Warminster, PA 18974-3100
Phone (215) 293-9560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040726000239 PA Practitioner - Physician Assistant 5698755080 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pennsylvania Urgent Care Centers, PLLCGroup PAC ID 8123200631, 107 clinicians

Practice addresses (Care Compare)

150 E Pennsylvania Ave
Downingtown, PA 19335-2657
Phone (610) 518-1060

49 Prince St
Harrisburg, PA 17109-3113
Phone (717) 901-3440

511 A 2ND St Pike
Southampton, PA 18966-3804
Phone (267) 669-1660

780 N Krocks Rd
Suite 101B
Allentown, PA 18106-9075
Phone (610) 365-3354

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Feb 1, 2024 Accepting new patients
Lehigh Valley Physician Group CurrentSince Feb 1, 2024 Accepting new patients
Univ of Penn-Cardiac Transplant Past Accepting new patients
Singh Physicians Past Accepting new patients
Premier Immediate Medical Care, LLC Past Accepting new patients
Family Care Centers Inc. Past Accepting new patients

Locations

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

Organizations & group practices 9

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": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507852800000",
    "number": "1316923345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 W STREET RD",
            "address_2": "STE. 302",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189743100",
            "telephone_number": "215-293-9560",
            "fax_number": "215-293-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 MAIN ST",
            "address_2": "STE. 302",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604478",
            "telephone_number": "610-983-1561",
            "fax_number": "610-983-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIOVINAZZO",
        "first_name": "THOMAS",
        "middle_name": "D.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2017-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA050659",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA050659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

Verify at the official NPI Registry.