Michael L Pivato, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

003344 Issued in GA

Practice address

15100 Rescue Way
Aviation Medical Clinic
Clearwater, FL 33762

Phone

(727) 535-1437

NPI assigned

May 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/d88010de-d791-42d4-b72d-513f9afc5ed1/

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.

• Aga Professional Services, LLC

  • Gastroenterology Physician
  • Atlanta, GA
  • NPI 1063799120
  NPD (past)

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1982659850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15100 RESCUE WAY",
            "address_2": "AVIATION MEDICAL CLINIC",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33762",
            "telephone_number": "727-535-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15100 RESCUE WAY",
            "address_2": "AVIATION MEDICAL CLINIC",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33762",
            "telephone_number": "727-535-1437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIVATO",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "003344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Porshalin Piper, PT,DPT
• Shafaat Pirani, PHARMD, BCGP
• Crystal Pauline Pistone
• Justine Rahera Pittman, PA-C
• Shikiria L Pitts
• Penny T Plakas, PHARM D.
• Karen Lea Plant
• Susan D Player, DC, DABCI, DACBN
• Christopher Lee Plomatos, APRN-C
• Ana Plyku

• Physician Assistant in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.