Andrea Canata, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9106229 Issued in FL

Practice address

2454 N McMullen Booth Rd
Suite 601
Clearwater, FL 33759-1353

Phone

(727) 796-7705

Fax

(727) 796-8764

NPI assigned

Jul 10, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Andrea Cleary Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Atlas Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Holiday, FL
  • NPI 1306851001
  NPD (past)

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428278400000",
    "number": "1659636264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2454 N MCMULLEN BOOTH RD",
            "address_2": "SUITE 601",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591353",
            "telephone_number": "727-796-7705",
            "fax_number": "727-796-8764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2454 N MCMULLEN BOOTH RD",
            "address_2": "SUITE 601",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591353",
            "telephone_number": "727-796-7705",
            "fax_number": "727-796-8764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANATA",
        "first_name": "ANDREA",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2015-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9106229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX IDENTIFICATION NUMBER",
            "identifier": "59-3585336",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "CLEARY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marco A. Camuzzi, D.O.
• Can Community Health Inc.
• Can Community Health, Inc.
• Jose Manuel Canabal Montalvo, MD
• Catherine Ann Canape
• Jeanette Cancel, MD
• Carol Candelario
• Brett Nicholas Cann, M.D.
• Christopher Scott Cannady, DMD
• Larry D Canton, DO

• All providers in Clearwater, FL
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.