Patricia Murtha, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9100903 Issued in FL

Practice address

2828 S McCall Rd
Ste 21
Englewood, FL 34224-7791

Phone

(941) 474-8154

Fax

(941) 473-3583

NPI assigned

May 24, 2005

Last updated

Nov 28, 2016By the provider in NPPES

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

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

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

• Lake Erie College of Osteopathic Medicine

  dba Lecom - Englewood Family Practice

  • Family Medicine Physician
  • Englewood, FL
  • NPI 1467087296
  Medicare reassignment
• Englewood Emergency Physicians PA

  • Emergency Medicine Physician
  • Englewood, FL
  • NPI 1124021316
  NPD (past)
• Gulf Coast Hma Physician Management LLC

  dba Gulf Coast Medical Group

  • Internal Medicine Physician
  • Venice, FL
  • NPI 1407806094
  NPD (past)
• Total Senior Health Care Mobile Physician Services LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Bonita Springs, FL
  • NPI 1790871424
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1689677494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 S MCCALL RD",
            "address_2": "STE 21",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342249517",
            "telephone_number": "941-474-8154",
            "fax_number": "941-473-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 S MCCALL RD",
            "address_2": "STE 21",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342247791",
            "telephone_number": "941-474-8154",
            "fax_number": "941-473-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURTHA",
        "first_name": "PATRICIA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9100903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292132400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Osmar Manuel Morales Fernandez, DMD
• Mount Si Emergency Physicians LLC
• Haley Mroz
• Amanda Mariah Munden
• Elaine M. Murphy, PHYSICAL THERAPIST
• Jihad Ali Mustapha, M.D.
• Jaclyn Sheri Nadler, M.D.
• Bhashini Nagalla
• Teresa A Nardontonia, MSN,ARNP
• National Cardiac and Vascular Consultant LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.