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

Mr. Ian Wetherall, PA-C

Individual provider Surgical Physician Assistant · NPI 1164730289

Mr. Ian Wetherall, PA-C is a Physician Assistant in Clearwater, Florida. Qualified in 2010, 16 years ago. Practices with St Vincent Medical Group Inc, a 727-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Indiana.

Years since qualifying
16
Licensed in
FL, IN
In the registry since
2010
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

455 Pinellas St Ste 320
Clearwater, FL 33756-3354
Phone: (727) 446-2273
Fax: (727) 441-4966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10580 N Meridian St, Carmel, IN 46290-1028 — (317) 583-5000

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 10004676A (IN)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA9108763 (FL)

Record details

NPI number1164730289
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 23, 2010
Last updated in NPPESJanuary 14, 2025
Certification dateJanuary 14, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice St Vincent Medical Group Inc — 727 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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