ANTHONY JOHN JIMENEZ PA-C
NPI 1568426906
Physician Assistant - Surgical in Brandon, FL

Active since April 13, 2006PECOS Enrolled
403 S KINGS AVE STE 201, BRANDON, FL 33511(813) 872-4992(813) 864-4030 Get Directions Write a Review

NPPES record last updated: September 5, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 5, 2019, Feb 26, 2018 (2 updates tracked since 2018).

About Anthony John Jimenez Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTHONY JOHN JIMENEZ PA-C (NPI 1568426906) is an individual surgical provider in Brandon, Florida, licensed in Florida (PA3216) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568426906
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameANTHONY JOHN JIMENEZCredential: PA-C
Location Address403 S KINGS AVE STE 201Brandon, FL 33511-5962
Mailing Address403 S Kings Ave, Ste 201Brandon, FL 33511-5962 · (813) 872-4492 · Fax (813) 490-9635
Fax(813) 864-4030
Sole ProprietorNo
Enumeration DateApril 13, 2006
Last NPPES UpdateSeptember 5, 20192 updates tracked since enumeration
NPI 1568426906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in FL · PA3216
403 S KINGS AVE STE 201, Brandon, FL 33511

Other Identifiers 2

Medicaid290370901FL
Other970022306Railroad Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Anthony John Jimenez Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
403 S KINGS AVE STE 201
BRANDON, FL 33511
Specialist
403 S KINGS AVE STE 201
BRANDON, FL 33511
Nurse Practitioner (Family)
403 S KINGS AVE STE 201
BRANDON, FL 33511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anthony Jimenez's NPI number?

The NPI number for Anthony Jimenez is 1568426906. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Anthony Jimenez located?

Anthony Jimenez practices at 403 S Kings Ave Ste 201, Brandon, FL 33511. The listed phone number is (813) 872-4992.

What is Anthony Jimenez's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Anthony Jimenez enrolled in Medicare?

Yes. Anthony Jimenez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anthony Jimenez was last updated on September 5, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.