Active NPI
Anthony M Molodecki, PA
- Medical Physician Assistant
- Plant City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9101062
- Practice address
- 228 W Alexander St
Plant City, FL 33563-7157 - Phone
- (813) 754-5480
- Fax
- (813) 754-2251
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9101062 | FL | Primary |
Addresses
Primary practice location
228 W Alexander St
Plant City, FL 33563-7157
Mailing address
7200 Corporate Center Dr
#600
Miami, FL 33126-1200
Phone (305) 500-2000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12408 N 56TH St
Suite 1
Temple Terrace, FL 33617-1522
Phone (813) 980-3104
5913 Webb Rd
Tampa, FL 33615-3219
Phone (813) 875-8567
6918 Gunn Hwy
Suite B
Tampa, FL 33625-3802
Phone (813) 875-8567
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9101062 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients | |
| BPS Tampa, LLC | Past | Accepting new patients | |
| Florida Urology Partners LLP | Past | Accepting new patients | |
| Tampa General Provider Network Inc | Past | Accepting new patients |
Locations
2 Columbia Dr
Tampa, FL 33606
Phone (813) 844-7100
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- amolodecki137752@direct.tgh.org
Organizations & group practices 5
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.
-
- Urology Physician
- Tampa, FL
- NPI 1447401955
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Non-Pharmacy Dispensing Site
- Tampa, FL
- NPI 1285279430
-
- Urology Physician
- Palm Springs, FL
- NPI 1851030282
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Joseph's Women's Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
dba St. Joseph's Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
-
dba AdventHealth Carrollwood
- General Acute Care Hospital
- Tampa, FL
- NPI 1427068345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450224000000",
"number": "1417020074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7200 CORPORATE CENTER DR",
"address_2": "#600",
"city": "MIAMI",
"state": "FL",
"postal_code": "331261200",
"telephone_number": "305-500-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 W ALEXANDER ST",
"city": "PLANT CITY",
"state": "FL",
"postal_code": "335637157",
"telephone_number": "813-754-5480",
"fax_number": "813-754-2251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLODECKI",
"first_name": "ANTHONY",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2015-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9101062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plant City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.