THOMAS FLAHERTY PA NPI 1194737528

NPI Information

  • NPI: 1194737528
  • Provider Name: THOMAS FLAHERTY, PA
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3390 TAMIAMI TRL
    SUITE 204
    PORT CHARLOTTE, FL
    ZIP 33952
  • Phone: (941) 391-5495

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NPI Details

Thomas Flaherty, PA is a medical physician assistant in Port Charlotte, FL. Thomas Flaherty, PA NPI is 1194737528. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3390 TAMIAMI TRL
SUITE 204
PORT CHARLOTTE, FL
ZIP 33952-157
Phone: (941) 391-5495
Fax: (941) 875-9875

The NPI 1194737528 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/13/2006 and was last updated on 10/31/2013.

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
1363AM0700XPhysician AssistantMedicalPA0002451FLORIDAYes

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
1S54625MEDICARE UPIN
2E0658ZMEDICARE ID-TYPE UNSPECIFIED

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: 11/21/2025

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