Active NPI
Timothy Judge Frost, PA-C
- Physician Assistant
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 9106260
- Practice address
- 3030 North Rocky Point Drive West
Suite 670
Tampa, FL 33607-5906 - Phone
- (813) 289-6597
- Fax
- (813) 289-6592
- NPI assigned
- Nov 16, 2011
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 9106260 | FL | Primary |
Addresses
Primary practice location
3030 North Rocky Point Drive West
Suite 670
Tampa, FL 33607-5906
Mailing address
3030 North Rocky Point Drive West
Suite 670
Tampa, FL 33607-5906
Phone (813) 289-6597
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, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Pinellas St
FL 1
Clearwater, FL 33756-3804
Phone (727) 462-7000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 9106260 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Consultants of Florida, Inc | Physician Assistant | Current | Accepting new patients |
| Diagnostic Clinic Medical Group Inc | Current | Accepting new patients | |
| Orlando Health, Inc. | Current | Accepting new patients | |
| Morton Plant Hospital Association, Inc. | Current | Accepting new patients | |
| Inpatient Consultants of Florida, Inc. | Physician Assistant | Past | Accepting new patients |
Locations
300 Pinellas St
Fl 1
Clearwater, FL 33756
3131 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 341-0551
1301 2nd Ave SW
Largo, FL 33770
Phone (727) 581-8767
6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411
3030 N Rocky Point Dr W
Ste 670
Tampa, FL 33607
Phone (813) 289-6597
3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222
Interoperability endpoints
- tfrost189348@orlandohealth.medalliesdirect.net
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.
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1962294397
-
- Internal Medicine Physician
- Orange Park, FL
- NPI 1396795597
Physician Assistant
-
- Gastroenterology Physician
- Clearwater, FL
- NPI 1124440912
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- Hospitalist Physician
- Tampa, FL
- NPI 1285037622
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428969600000",
"number": "1447527692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 NORTH ROCKY POINT DRIVE WEST",
"address_2": "SUITE 670",
"city": "TAMPA",
"state": "FL",
"postal_code": "336075906",
"telephone_number": "813-289-6597",
"fax_number": "813-289-6592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 NORTH ROCKY POINT DRIVE WEST",
"address_2": "SUITE 670",
"city": "TAMPA",
"state": "FL",
"postal_code": "336075906",
"telephone_number": "813-289-6597",
"fax_number": "813-289-6592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROST",
"first_name": "TIMOTHY",
"middle_name": "JUDGE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-16",
"last_updated": "2015-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA 9106260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.