PENN L MATTOX (PA-C) – Surgical Physician Assistant, NPI 1104805001
Surgical Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PENN L MATTOX (PA-C)
1955 1st Avenue North
Suite 101
Saint Petersburg, FL 337138907
Phone: (727) 822-3500
Fax: (727) 822-3228
Type: Location
1955, 1st Avenue North, Methodist Town, Saint Petersburg, Pinellas County, Florida, 33713, United States
SUITE 101
SAINT PETERSBURG, FL 337138907
Phone: (727) 822-3500
Fax: (727) 822-3228
Type: Mailing
Edgewater Drive, College Park, Orlando, Orange County, Florida, 32804, United States
ORLANDO, FL 328042206
Phone: (407) 539-2000
Fax: (407) 398-0050
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $320.
Total Amount is formed as General ($320) + Research ($0) + Ownership ($0) = $320.
Last reported payment date: 2023-09-01 • Largest payer in this snapshot: IDORSIA PHARMACEUTICALS US INC ($115).
Total Amount
$320
General + Research + Ownership
Payments
4
Total payment records
General Amount
$320
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-01
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33713)
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