Individual provider Active NPI

Aodhan James Smith, PA

  • Physician Assistant
  • Largo, FL
National Provider Identifier
1336730118
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9114016 Issued in FL
Practice address
1225 W Bay Dr
Largo, FL 33770-2203
Phone
(727) 581-8706
Fax
(727) 586-3743
NPI assigned
Feb 3, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9114016 FL Primary

Addresses

Primary practice location

1225 W Bay Dr
Largo, FL 33770-2203

Mailing address

1225 W Bay Dr
Largo, FL 33770-2203
Phone (727) 581-8706

Other practice location 1

501 N Howard Ave Ste 100
Tampa, FL 33606-1213
Phone (813) 253-2727

Other practice location 2

1295 W Bay Dr
Largo, FL 33770-2203
Phone (727) 559-9811

Other practice location 3

1225 W Bay Dr
Largo, FL 33770-2203
Phone (727) 450-3030

Other practice location 4

11925 Sheldon Rd
Tampa, FL 33626-3644
Phone (813) 792-0444

Other practice location 5

3220 N McMullen Booth Rd
Clearwater, FL 33761-2012
Phone (727) 723-8706

Other practice location 6

6133 Central Ave
Saint Petersburg, FL 33710-8529
Phone (727) 344-3008

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
I20210209003000 FL Practitioner - Physician Assistant 4486069267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

148 13TH St SW
Largo, FL 33770-3127
Phone (727) 581-8706

6133 Central Ave
Saint Petersburg, FL 33710-8529
Phone (727) 344-3008

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9114016FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Eye Physicians of Pinellas, PA CurrentSince Feb 8, 2021 Accepting new patients
The Eye Physicians of Pinellas, PA CurrentSince Feb 8, 2021 Accepting new patients

Locations

3220 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 723-8706

1225 West Bay Dr
Largo, FL 33770
Phone (813) 253-2727

148 13th St SW
Ste 200
Largo, FL 33770
Phone (727) 450-3030

1295 West Bay Dr
Largo, FL 33770
Phone (727) 450-3032

148 13th St SW
Largo, FL 33770
Phone (727) 450-3030

6133 Central Ave
St Petersburg, FL 33710
Phone (727) 344-3008

501 N Howard Ave
Ste 100
Tampa, FL 33606
Phone (813) 253-2727

11925 Sheldon Rd
Tampa, FL 33626
Phone (813) 792-0444

Organizations & group practices 2

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": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1336730118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 W BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702203",
            "telephone_number": "727-581-8706",
            "fax_number": "727-586-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 W BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702203",
            "telephone_number": "727-581-8706",
            "fax_number": "727-586-3743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 N Howard Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336061213",
            "country_code": "US",
            "telephone_number": "813-253-2727",
            "fax_number": "813-253-2729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1295 W Bay Dr",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337702203",
            "country_code": "US",
            "telephone_number": "727-559-9811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 W Bay Dr",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337702203",
            "country_code": "US",
            "telephone_number": "727-450-3030",
            "fax_number": "727-450-3031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11925 Sheldon Rd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336263644",
            "country_code": "US",
            "telephone_number": "813-792-0444",
            "fax_number": "813-792-0066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3220 N McMullen Booth Rd",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337612012",
            "country_code": "US",
            "telephone_number": "727-723-8706",
            "fax_number": "727-451-8706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6133 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Petersburg",
            "state": "FL",
            "postal_code": "337108529",
            "country_code": "US",
            "telephone_number": "727-344-3008",
            "fax_number": "727-347-2806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AODHAN",
        "middle_name": "JAMES",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9114016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.