Individual provider Active NPI

James Robert Torrico, PA-C

  • Physician Assistant
  • Fort Myers, FL
National Provider Identifier
1720331341
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9106774 Issued in FL
Practice address
4790 Barkley Circle
Building a
Fort Myers, FL 33907-7593
Phone
(239) 275-8882
Fax
(239) 275-1969
NPI assigned
Oct 19, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9106774 FL Primary

Addresses

Primary practice location

4790 Barkley Circle
Building a
Fort Myers, FL 33907-7593

Mailing address

4790 Barkley Circle
Building a
Fort Myers, FL 33907-7593
Phone (239) 275-8882

Other identifiers 1

IdentifierTypeStateIssuer
006717900MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address clinical@giaswfl.directbygreenway.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121119000346 FL Practitioner - Physician Assistant 5698926749 Reassigns benefits to 1 organization
I20240409003693 MT Practitioner - Physician Assistant 5698926749 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9106774FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Clinic CurrentSince Mar 26, 2024 Accepting new patients
Billings Clinic CurrentSince Mar 26, 2024 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

801 N 29th St
Billings, MT 59101
Phone (406) 238-2210

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1720331341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4790 BARKLEY CIRCLE",
            "address_2": "BUILDING A",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077593",
            "telephone_number": "239-275-8882",
            "fax_number": "239-275-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4790 BARKLEY CIRCLE",
            "address_2": "BUILDING A",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077593",
            "telephone_number": "239-275-8882",
            "fax_number": "239-275-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRICO",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-19",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006717900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clinical@giaswfl.directbygreenway.com",
            "affiliation": "Y",
            "endpointDescription": "Direct  Message Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4790 Barkley Circle",
            "address_2": "Building A",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339077593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.