Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Antonio M Licata, DO

Individual provider Anesthesiology Physician · NPI 1033197694

Mr. Antonio M Licata, DO is an Anesthesiology in Dayton, Ohio. Graduated from West Virginia School of Osteopathic Medicine in 1989, 37 years ago. Practices with Phs Anesthesia Billing, LLC, a 239-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
37
Trained at
West Virginia School of Osteopathic Medicine
Licensed in
OH
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1 Wyoming St 3 Fl / Anes Dept
Dayton, OH 45409
Phone: (937) 208-4380
Fax: (937) 208-3843
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 34.00512 (OH)
Anesthesiology Physician Taxonomy 207L00000X · Licence 34005132 (OH)

Record details

NPI number1033197694
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 4, 2006
Last updated in NPPESDecember 2, 2010
Mailing addressP.O. Box 632317, Cincinnati, OH 45263-2317

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 1989 (37 years in practice)
Group practice Phs Anesthesia Billing, Llc — 239 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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