Active NPI
Catherine E Capozziello, P.A.
- Surgical Physician Assistant
- Clearwater, FL
National Provider Identifier
1487958237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA9104897
- Practice address
- 430 Morton Plant St
Suite 301
Clearwater, FL 33756-3398 - Phone
- (727) 461-6026
- Fax
- (727) 461-1492
- NPI assigned
- Jan 7, 2011
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA9104897 | FL | Primary |
Addresses
Primary practice location
430 Morton Plant St
Suite 301
Clearwater, FL 33756-3398
Mailing address
430 Morton Plant St
Suite 301
Clearwater, FL 33756-3398
Phone (727) 461-6026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9104897 | FL | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients |
Interoperability endpoints
- ccapozziello23160@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294358400000",
"number": "1487958237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 MORTON PLANT ST",
"address_2": "SUITE 301",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563398",
"telephone_number": "727-461-6026",
"fax_number": "727-461-1492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 MORTON PLANT ST",
"address_2": "SUITE 301",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563398",
"telephone_number": "727-461-6026",
"fax_number": "727-461-1492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPOZZIELLO",
"first_name": "CATHERINE",
"middle_name": "E",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-07",
"last_updated": "2011-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA9104897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.