Individual provider Active NPI

Clayton W Noa, PA

  • Physician Assistant
  • Oldsmar, FL
National Provider Identifier
1497086284
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 9106368 Issued in FL
Practice address
3953 Tampa Rd Unit 101
Oldsmar, FL 34677-3233
Phone
(727) 464-2867
Fax
(727) 464-2663
NPI assigned
Jan 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 9106368 FL Primary

Addresses

Primary practice location

3953 Tampa Rd Unit 101
Oldsmar, FL 34677-3233

Mailing address

3953 Tampa Rd Unit 101
Oldsmar, FL 34677-3233
Phone (727) 464-2867

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120313000837 FL Practitioner - Physician Assistant 3375678477 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 9106368FLMDPhysician Assistant

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.

NPI Registry JSON

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1497086284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3953 TAMPA RD UNIT 101",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346773233",
            "telephone_number": "727-464-2867",
            "fax_number": "727-464-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3953 TAMPA RD UNIT 101",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346773233",
            "telephone_number": "727-464-2867",
            "fax_number": "727-464-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOA",
        "first_name": "CLAYTON",
        "middle_name": "W",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-19",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 9106368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oldsmar, FL

Sources for this page

Verify at the official NPI Registry.