Paul Anthony Licata, PA-C
- Affiliated sites
- 1
- Medical group
- 1
- State license
- 1
- Year NPI issued
- 2006
- Practice address
- 1270 Kotnam Rd, Warm Springs, OR 97761
- Practice phone
- Call (541) 553-1196
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Warm Springs Health and Wellness Center
Warm Springs, Oregon
Find Paul Licata's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Paul Anthony Licata is a surgical physician assistant in Warm Springs, Oregon
Paul Licata practices at Warm Springs Health and Wellness Center in Warm Springs, Oregon.
Paul Licata's NPI, 1336187996, was assigned on June 3, 2006. Paul Licata holds Florida license PA9102128.
- NPI
- 1336187996NPI Registry (opens in a new tab)
- Medicare PAC ID
- 6901387372
- NPI enumeration date
- June 3, 2006
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (541) 553-1196
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 50
- Medical school graduation
- 2002
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Paul Anthony Licata practices at Warm Springs Health and Wellness Center in Warm Springs, Oregon
Paul Licata's primary practice is Warm Springs Health and Wellness Center, at 1270 Kotnam Rd, Warm Springs, OR 97761 in Jefferson County. The practice phone is (541) 553-1196.
- Warm Springs Health and Wellness Center1270 Kotnam Rd, Warm Springs, OR 97761 · Jefferson CountyPhone(541) 553-1196
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Paul Anthony Licata is affiliated with 2 sites of care and 1 medical group
Paul Licata's primary practice is Warm Springs Health and Wellness Center in Warm Springs, Oregon. The medical group on file is Warm Springs Health and Wellness Center. Dmand AI also links Paul Licata to 1 more group practice or clinic, named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Paul Anthony Licata's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Paul Licata practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Warm Springs Health and Wellness Center | Available with a free account |
| +1 more affiliated site | Available with a free account |
Source: Dmand AI Technology Install Data
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Paul Anthony Licata is one of 317 surgical physician assistants in Oregon
Surgical is Paul Licata's primary specialty in the NPI Registry, under taxonomy code 363AS0400X. Paul Licata is board certified in certified physician assistant by the National Commission on Certification of Physician Assistants (NCCPA). Paul Licata is licensed in Florida.
Specialties and state licenses
- Surgical physician assistant, FloridaPrimary
Surgical physician assistants near Paul Licata
Counts of surgical physician assistants with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Paul Anthony Licata's patients have a median age of 63
Across all payers, Dmand AI patient panel data puts Paul Licata's median patient age at 63, with 100% women.
Paul Licata's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 63
Patient panel by sex, all payers
- Women100%
- Men0%
Source: Dmand AI Patient Panel Data
How Paul Anthony Licata takes part in Medicare
Paul Licata accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
Paul Anthony Licata is board certified in certified physician assistant
- Board certified in certified physician assistant
Source: Dmand AI Professional Profile Data
Sources for Paul Anthony Licata's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Paul Anthony Licata
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Paul Anthony Licata's NPI number?
Paul Anthony Licata's NPI number is 1336187996. It was assigned on June 3, 2006, and it is active in the NPI Registry.
What does Paul Anthony Licata specialize in?
Paul Anthony Licata is a surgical physician assistant in Warm Springs, Oregon. The primary specialty in the NPI Registry is Surgical Physician Assistant (taxonomy code 363AS0400X).
Where does Paul Anthony Licata practice?
Paul Licata practices at 1270 Kotnam Rd, Warm Springs, OR 97761. Paul Licata's primary practice is Warm Springs Health and Wellness Center in Warm Springs, Oregon. Dmand AI also links Paul Licata to 1 group practice or clinic.
What is Paul Anthony Licata's office phone number?
The practice phone on file for Paul Licata is (541) 553-1196.
What is Paul Anthony Licata's medical license number?
Paul Licata holds Florida license PA9102128.
What medical group is Paul Anthony Licata part of?
Paul Licata is linked to Warm Springs Health and Wellness Center.
Does Paul Anthony Licata accept Medicare?
Yes. CMS lists Paul Licata as accepting Medicare assignment.
Is Paul Anthony Licata board certified?
Yes. Paul Licata is board certified in certified physician assistant by the National Commission on Certification of Physician Assistants (NCCPA).
How long has Paul Anthony Licata been practicing?
Paul Licata graduated from medical school in 2002, 24 years ago.
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