Martha M Mixa, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9105230 Issued in FL

Practice address

5959 Central Ave
Ste 101
St Petersburg, FL 33710-8502

Phone

(727) 321-9644

Fax

(727) 321-8580

NPI assigned

Oct 22, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Physician Assistant

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thomas M Mixa MD PAGroup PAC ID 1153327333, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Anthonys Hospital Hospital, Saint Petersburg, FL, CCN 100067

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 and National Provider Directory roles.

• Thomas M Mixa MD PA

  • Orthopaedic Surgery Physician
  • South Pasadena, FL
  • NPI 1346250271
  Medicare reassignment Care Compare group
• Anesthesia and Pain Physicians of Florida, PA

  • Specialist
  • Bradenton, FL
  • NPI 1982815080
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Anthonys Hospital, Inc.

  • General Acute Care Hospital
  • St Petersburg, FL
  • NPI 1427024942
  Care Compare affiliation

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256256000000",
    "number": "1760718969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 CENTRAL AVE",
            "address_2": "STE 101",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108502",
            "telephone_number": "727-321-9644",
            "fax_number": "727-321-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 CENTRAL AVE",
            "address_2": "STE 101",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108502",
            "telephone_number": "727-321-9644",
            "fax_number": "727-321-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIXA",
        "first_name": "MARTHA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-22",
        "last_updated": "2009-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9105230",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9105230",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally E Mitchell, M.D.
• Jennifer Diane Mitrano, PHARM.D.
• Ashok Mittal, MD
• Rakesh Mittal, MD, PHD
• Jennifer M Mix, SLP
• Iffath Mizan, MD
• Dana Marie Mlynarski, APRN
• Amy Moan, PA
• Mobile Health Inc.
• Mobility Medical Supplies LLC

• Medical Physician Assistant in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; 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.

Verify at the official NPI Registry.