Active NPI
Paul Anthony Fitzpatrick, PA
- Surgical Physician Assistant
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA9106919
- Practice address
- 430 Morton Plant St
Suite 301
Clearwater, FL 33756-3398 - Phone
- (727) 461-6026
- Fax
- (727) 461-7446
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA9106919 | FL | Primary |
Addresses
Primary practice location
430 Morton Plant St
Suite 301
Clearwater, FL 33756-3398
Mailing address
430 Morton Plant St
Suite 301
Clearwater, FL 33756-3398
Phone (727) 461-6026
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121130000436 | FL | Practitioner - Physician Assistant | 2365336518 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tallahassee Orthopedic Clinic III PL
Practice addresses (Care Compare)
3334 Capital Medical Blvd
Suite 400
Tallahassee, FL 32308-4470
Phone (850) 877-8174
430 Morton Plant St
Suite 301
Clearwater, FL 33756-3395
Phone (813) 978-9700
Hospital & facility affiliations
- Morton Plant Hospital
- Adventhealth North Pinellas
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles (4 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tallahassee Orthopedic Clinic III PL | Current | Accepting new patients | |
| Tallahassee Orthopedic Clinic III, P.L. | Current | Accepting new patients | |
| Musculoskeletal Institute Chartered | Current | Accepting new patients | |
| LMB Medical LLC | Past | Accepting new patients |
Locations
430 Morton Plant St
Ste 301
Clearwater, FL 33756
2414 Enterprise Rd
Clearwater, FL 33763
Phone (727) 796-4345
8839 Bryan Dairy Rd
Ste 240
Largo, FL 33777
Phone 81397897007646
4600 4th St N
St Petersburg, FL 33703
3334 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 210-1808
13060 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637
13020 N Telecom Pkwy
Temple Terrace, FL 33637
13020 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637
2044 Trinity Oaks Blvd
Ste 110
Trinity, FL 34655
Phone (813) 978-7000
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- paul.fitzpatrick.2@18802.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Medical Specialty Clinic/Center
- Tallahassee, FL
- NPI 1194778050
FL
-
- Orthopaedic Surgery Physician
- Temple Terrace, FL
- NPI 1386639920
FL
-
- Multi-Specialty Clinic/Center
- South Pasadena, FL
- NPI 1003564378
-
- Durable Medical Equipment & Medical Supplies
- Panama City Beach, FL
- NPI 1497617948
-
- Internal Medicine Physician
- Pawtucket, RI
- NPI 1972096923
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clearwater, FL
- NPI 1376529743
Hospital
-
- General Acute Care Hospital
- Tarpon Springs, FL
- NPI 1568473015
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354665600000",
"number": "1699865055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 MORTON PLANT ST",
"address_2": "SUITE 301",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563398",
"telephone_number": "727-461-6026",
"fax_number": "727-461-7446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 MORTON PLANT ST",
"address_2": "SUITE 301",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563398",
"telephone_number": "727-461-6026",
"fax_number": "727-461-7446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZPATRICK",
"first_name": "PAUL",
"middle_name": "ANTHONY",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2012-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA9106919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.