Active NPI
Paul Badiali
- Physician Assistant
- Largo, FL
National Provider Identifier
1770686040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA1558
- Practice address
- 12309 91St Way North
Largo, FL 33773 - Phone
- (727) 398-6661
- Fax
- (727) 398-9554
- NPI assigned
- Sep 5, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA1558 | FL | Primary |
Addresses
Primary practice location
12309 91St Way North
Largo, FL 33773
Mailing address
12309 91St Way
Largo, FL 33773-2626
Phone (727) 398-6661
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770686040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12309 91ST WAY",
"city": "LARGO",
"state": "FL",
"postal_code": "337732626",
"telephone_number": "727-398-6661",
"fax_number": "727-398-9554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12309 91ST WAY NORTH",
"city": "LARGO",
"state": "FL",
"postal_code": "33773",
"telephone_number": "727-398-6661",
"fax_number": "727-398-9554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADIALI",
"first_name": "PAUL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA1558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.