Thomas M Mixa MD PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

ME0067156 Issued in FL

Legal business name

THOMAS M MIXA MD PA

Practice address

1609 Pasadena Ave S Ste 1a
South Pasadena, FL 33707-4514

Phone

(727) 321-9644

Fax

(727) 321-8580

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Thomas Michael Mixa, MDNPI 1356309611

Title

Physician

Phone

(727) 321-9644

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Mixa, M.D.

  • Orthopaedic Surgery Physician
  • South Pasadena, FL
  • NPI 1356309611
  Medicare reassignment Care Compare group NPD Authorized official
• Patrick James Mixa, MD

  • Orthopaedic Surgery Physician
  • South Pasadena, FL
  • NPI 1033648647
  Medicare reassignment Care Compare group NPD
• Anna Teresa Mixa, PA-C

  • Physician Assistant
  • South Pasadena, FL
  • NPI 1306611264
  Medicare reassignment Care Compare group
• Martha M Mixa, PA

  • Medical Physician Assistant
  • St Petersburg, FL
  • NPI 1760718969
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1346250271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 NORTHSIDE DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612236",
            "telephone_number": "727-499-0351",
            "fax_number": "727-223-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 PASADENA AVE S STE 1A",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337074514",
            "telephone_number": "727-321-9644",
            "fax_number": "727-321-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS M MIXA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "MIXA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "727-321-9644",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME0067156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376828700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ME0067156",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunrise IV Boca Ciega SL, LLC
• Dana Swope, MBA, RDN, CSOWM
• Tallahassee Orthopedic Clinic III PL
• John H Thee, D.M.D.
• Thomas F Conroy MD PA
• Elliot Traxler, DMD
• Aquaiel Troupe, PHARMACIST INTERN
• Shayna Vargas
• Sushama Vazrala, M.D.
• Jennifer Ann Villarino, PHARM.D.

• Orthopaedic Surgery Physician in South Pasadena, FL
• Providers in South Pasadena, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.