Organization Active NPI

Physician Extenders Services, Inc.

  • Surgical Physician Assistant
  • Hallandale Beach, FL
National Provider Identifier
1003144601
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
PHYSICIAN EXTENDERS SERVICES, INC.
Practice address
1001 N Federal Hwy
Suite 355
Hallandale Beach, FL 33009-2400
Phone
(954) 455-5833
Fax
(866) 902-8817
NPI assigned
Nov 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Rick Yarosh, PA
Title
President
Phone
(954) 802-6864

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

1001 N Federal Hwy
Suite 355
Hallandale Beach, FL 33009-2400

Mailing address

1001 N Federal Hwy
Suite 355
Hallandale Beach, FL 33009-2400
Phone (954) 455-5833

National Provider Directory

National Provider Directory

Locations

1001 N Federal Hwy
Ste 355
Hallandale Beach, FL 33009
Phone (800) 488-0279

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1003144601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N FEDERAL HWY",
            "address_2": "SUITE 355",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092400",
            "telephone_number": "954-455-5833",
            "fax_number": "866-902-8817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N FEDERAL HWY",
            "address_2": "SUITE 355",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092400",
            "telephone_number": "954-455-5833",
            "fax_number": "866-902-8817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN EXTENDERS SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-20",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "YAROSH",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-802-6864",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.