MS. MELISSA MARIE CLINTON PA-C NPI 1013194083

NPI Information

  • NPI: 1013194083
  • Provider Name: MS. MELISSA MARIE CLINTON, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6901 SIMMONS LOOP
    RIVERVIEW, FL
    ZIP 33578
  • Phone: (813) 302-8070

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NPI Details

MS. Melissa Marie Clinton, PA-C is a surgical physician assistant in Riverview, FL. MS. Melissa Marie Clinton, PA-C NPI is 1013194083. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6901 SIMMONS LOOP
RIVERVIEW, FL
ZIP 33578
Phone: (813) 302-8070
Fax: (813) 972-5055

The NPI 1013194083 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/22/2008 and was last updated on 11/4/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgicalPA9104486FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00865655OTHERFLORIDARAILROAD MEDICARE
2Y04EQOTHERFLORIDABC/BS
3293023400MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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