Unknown Individual – Physician Assistant, NPI 1457333163

Unknown Individual is a healthcare provider. based in Bradenton, Florida. specializing in Physician Assistant. They hold a License No. PA3429 (FL). The NPI Number for Unknown Individual is 1457333163

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1457333163
Phone
(941) 907-4218
Address
7321 LOBLOLLY BAY TRL
Deactivation Date
26 March 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for Unknown Individual

  • 7321 LOBLOLLY BAY TRL

    BRADENTON, FL 342024169

    Phone: (941) 907-4218

    Type: Mailing

  • 1951, Northgate Boulevard, Sarasota County, Florida, 34234, United States

    PEDIATRICS OF SARASOTA

    SARASOTA, FL 342342143

    Phone: (941) 355-0687

    Fax: (941) 358-0417

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 34202)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1457333163 on file in the registry.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Bradenton, Florida as the reference point for Unknown Individual, then confirm.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

Similar Providers

Unknown Individual

Physician Assistant
8609, Stoner Hills Drive, Riverview, Hillsborough County, Florida, 33569, United States
NPI: 1528067535
300 Riverside Dr E Ste 1500
NPI: 1598750374
44201 Dequindre Rd
NPI: 1003883067
Pop in a Box, 800, Avenida Presidente Juscelino Kubitscheck de Oliveira, Jardim Panorama, São José do Rio Preto, Região Imediata de São José do Rio Preto, Região Geográfica Intermediária de São José do Rio Preto, São Paulo, Southeast Region, 15092-450, Brazil
NPI: 1164490116

KAREN EUGENIA GOODWIN (PA-C)

Physician Assistant
367, South Gulph Road, Gulph Mills Village, King of Prussia, Upper Merion Township, Montgomery County, Pennsylvania, 19406, United States
NPI: 1699737320

GUY ERNEST LEVERETT (PA-C)

Physician Assistant
841, Symphony Isles Boulevard, Apollo Beach, Hillsborough County, Florida, 33572, United States
NPI: 1073576799

REBECCA LYNNE IRVING (PA)

Physician Assistant
6202 17th Ave W
NPI: 1417911066

JOHN JEFFREY DEAL (PA)

Physician Assistant
403 MILL RUN E
NPI: 1114978657