Active NPI
Physician Extenders Services, Inc.
- Surgical Physician Assistant
- Hallandale Beach, FL
National Provider Identifier
1003144601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | Primary | ||
| Nurse Practitioner | 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 DirectoryLocations
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.
-
- Surgical Physician Assistant
- Hallandale Beach, FL
- NPI 1114278538
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.