Individual provider Active NPI

Anthony J Pacitti, M.D.

  • Surgery Physician
  • Palatka, FL
National Provider Identifier
1598810343
Registry record updated Apr 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME78644 Issued in FL
Practice address
205 Zeagler Dr
Suite 203
Palatka, FL 32177-3888
Phone
(386) 312-8519
Fax
(386) 312-8523
NPI assigned
Jan 24, 2007
Last updated
Apr 15, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME78644 FL Primary

Addresses

Primary practice location

205 Zeagler Dr
Suite 203
Palatka, FL 32177-3888

Mailing address

PO Box 850001
Orlando, FL 32885-0192
Phone (904) 282-6331

Other names 1

  • Anthony J Pacitti, MD, PA Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040809000035 FL Practitioner - General SurgeryPractitioner - General Practice 6002888302
I20140806002396 TX Practitioner - General Surgery 6002888302 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Jun 22, 2015 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Jun 22, 2015 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271289600000",
    "number": "1598810343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850001",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328850192",
            "telephone_number": "904-282-6331",
            "fax_number": "904-282-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 ZEAGLER DR",
            "address_2": "SUITE 203",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773888",
            "telephone_number": "386-312-8519",
            "fax_number": "386-312-8523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACITTI",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2010-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME78644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTHONY",
            "last_name": "PACITTI, MD, PA",
            "middle_name": "J",
            "credential": "MD, PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Palatka, FL

Sources for this page

Verify at the official NPI Registry.