Individual provider Active NPI

James R. Cipriano, PA

  • Physician Assistant
  • Dunedin, FL
National Provider Identifier
1790724896
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA3379 Issued in FL
Practice address
601 Main St
Dunedin, FL 34698-5848
Phone
(727) 733-1111
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PA3379 FL Primary

Addresses

Primary practice location

601 Main St
Dunedin, FL 34698-5848

Mailing address

PO Box 67268
St Petersburg, FL 33736-7268

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100408000019 FL Practitioner - Physician Assistant 4981598299 Reassigns benefits to 6 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
FL-I Medical Services, LLC Physician Assistant CurrentSince Jan 1, 2015 Accepting new patients
Coastline Emergency Physicians LLC Physician Assistant CurrentSince Aug 15, 2011 Accepting new patients
FL-I Medical Services LLC Physician Assistant CurrentSince Jan 1, 2015 Accepting new patients
Sunshine City Emergency Physicians Past Accepting new patients
Emergency Medicine of Florida, Inc. Past Accepting new patients

Locations

601 Main St
Dunedin, FL 34698
Phone (727) 461-1133

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

6500 38th Ave N
St Petersburg, FL 33710
Phone (727) 341-4870

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

Organizations & group practices 10

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790724896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67268",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337367268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MAIN ST",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346985848",
            "telephone_number": "727-733-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIPRIANO",
        "first_name": "JAMES",
        "middle_name": "R.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA3379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunedin, FL

Sources for this page

Verify at the official NPI Registry.