Thomas Fallon, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9108432 Issued in FL

Practice address

8927 US Highway 301 N Ste 210
Parrish, FL 34219-8701

Phone

(941) 845-4652

Fax

(941) 845-4654

NPI assigned

Feb 5, 2015

Last updated

Jun 30, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Primehealth Urgent Care LLC

  • Urgent Care Clinic/Center
  • Parrish, FL
  • NPI 1023651825
  NPD
• Primehealth Urgent Care LLC

  • Urgent Care Clinic/Center
  • Bradenton, FL
  • NPI 1821843335
  NPD
• Gastro Florida Pharmacy, LLC

  • Pharmacy
  • Clearwater, FL
  • NPI 1285272815
  NPD (past)

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

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1669863155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8927 US HIGHWAY 301 N STE 210",
            "city": "PARRISH",
            "state": "FL",
            "postal_code": "342198701",
            "telephone_number": "941-845-4652",
            "fax_number": "941-845-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8927 US HIGHWAY 301 N STE 210",
            "city": "PARRISH",
            "state": "FL",
            "postal_code": "342198701",
            "telephone_number": "941-845-4652",
            "fax_number": "941-845-4654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5221 Clark Rd",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342333201",
            "country_code": "US",
            "telephone_number": "941-677-5800",
            "fax_number": "941-677-5801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3018 53rd Ave E",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342034331",
            "country_code": "US",
            "telephone_number": "941-348-2760",
            "fax_number": "941-348-2761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALLON",
        "first_name": "THOMAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-05",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Richard Stephen Fletcher, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.