Christopher Charles Fanella

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

9115102 Issued in FL

Practice address

3000 SW 148TH Ave Ste 115
Miramar, FL 33027-4181

Phone

(954) 438-7000

NPI assigned

Sep 13, 2021

Last updated

Oct 28, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Florida Spine and Sports Specialists LLCGroup PAC ID 1951684968, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital Miramar Hospital, Miramar, FL, CCN 100285

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: christopher.fanella.1@13984.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Florida Spine & Sports Specialists, LLC

  • Physical Medicine & Rehabilitation Physician
  • Miramar, FL
  • NPI 1013377191
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• South Broward Hospital District

  dba Memorial Hospital Miramar

  • General Acute Care Hospital
  • Miramar, FL
  • NPI 1326021197
  Care Compare affiliation

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1013686914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 SW 148TH AVE STE 115",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 SW 148TH AVE STE 115",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274181",
            "telephone_number": "954-438-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANELLA",
        "first_name": "CHRISTOPHER",
        "middle_name": "CHARLES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "9115102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yaima Falcon
• Family Care Nurse Registry, Inc.
• Family Center for Healing Inc
• Family System Solution Wheel
• Jorell Fanek
• Hua Fang-Patrick, MD
• Maria Adriana Farace
• Bamdad Farhad, D.O.
• Diana Farias Sanchez, RBT
• Farid Assouad MD, P.a.

• Medical Physician Assistant in Miramar, FL
• Providers in Miramar, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.