Active NPI
Paige Carruthers
- Physician Assistant
- Bradenton, FL
National Provider Identifier
1457074593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 3303 Manatee Ave W
Bradenton, FL 34205-2550 - Phone
- (941) 324-2550
- NPI assigned
- Sep 23, 2022
- Sex
- Female
- 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 | Primary |
Addresses
Primary practice location
3303 Manatee Ave W
Bradenton, FL 34205-2550
Mailing address
10517 Massimo Dr
Wimauma, FL 33598-2011
Phone (518) 796-9736
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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3303 Manatee Ave W
Bradenton, FL 34205-2550
Phone (941) 324-2550
Hospital & facility affiliations
- Pinnacle Home Care
- Manatee Memorial Hospital
- HCA Florida Blake Hospital
- Sarasota Memorial Hospital
- Lakewood Ranch Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
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.
-
- Urology Physician
- Bradenton, FL
- NPI 1710765847
-
- Surgery Physician
- Bradenton, FL
- NPI 1891184149
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bradenton, FL
- NPI 1114964244
-
- General Acute Care Hospital
- Bradenton, FL
- NPI 1730179714
-
- General Acute Care Hospital
- Bradenton, FL
- NPI 1760472799
-
- Home Health Agency
- Tampa, FL
- NPI 1437663465
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744243200000",
"number": "1457074593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10517 MASSIMO DR",
"city": "WIMAUMA",
"state": "FL",
"postal_code": "335982011",
"telephone_number": "518-796-9736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3303 MANATEE AVE W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342052550",
"telephone_number": "941-324-2550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRUTHERS",
"first_name": "PAIGE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-23",
"last_updated": "2025-04-10",
"certification_date": "2025-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.