Mason M Fish, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9114060 Issued in FL

Practice address

2454 N McMullen Booth Rd Ste 501-504
Clearwater, FL 33759-1353

Phone

(727) 285-8770

Fax

(727) 285-8774

NPI assigned

Mar 25, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Michelle R Scargle MD PAGroup PAC ID 9436217841, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Michelle R Scargle MD PA

  • Psychiatry Physician
  • Clearwater, FL
  • NPI 1962678383
  Medicare reassignment Care Compare group
• Florida Joint Care Institute LLP

  • Specialist
  • Trinity, FL
  • NPI 1437444023
  NPD (past)

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1598342610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2454 N MCMULLEN BOOTH RD STE 501-504",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591353",
            "telephone_number": "727-285-8770",
            "fax_number": "727-285-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2454 N MCMULLEN BOOTH RD STE 501-504",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591353",
            "telephone_number": "727-285-8770",
            "fax_number": "727-285-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISH",
        "first_name": "MASON",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-25",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9114060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• First Care Rehab Center, LLC
• Veronica Pena Fiscaro
• Paula J Fischbach, L.C.S.W.
• Catharine Fischer
• Melissa Fischer, BA
• Janet Fisher, CST/CSFA
• John S. Fisher, M. D.
• Shelby Fisher
• Travis Fisher, DC
• Janet G Fishman, MD

• Physician Assistant in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.

Verify at the official NPI Registry.