Active NPI
Ilysa Karin Howarth, PA
- Physician Assistant
- Lakewood Ranch, FL
National Provider Identifier
1083041115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9108415
- Practice address
- 14405 Arbor Green TRL
Lakewood Ranch, FL 34202-8409 - Phone
- (941) 917-7080
- Fax
- (941) 917-7085
- NPI assigned
- Oct 3, 2013
- Last updated
- Jul 12, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9108415 | FL | Primary |
Addresses
Primary practice location
14405 Arbor Green TRL
Lakewood Ranch, FL 34202-8409
Mailing address
PO Box 863407
Orlando, FL 32886-3407
Phone (941) 917-2600
Other practice location 1
8430 Enterprise Cir
Suite 130
Lakewood Ranch, FL 34202-4107
Phone (941) 366-3000
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9108415 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SMH Physician Services Inc | Past | Accepting new patients |
Interoperability endpoints
- ilysa.howarth@fpg.directbygreenway.com
Organizations & group practices 2
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.
-
dba First Physicians Group
- Internal Medicine Physician
- Sarasota, FL
- NPI 1346295292
-
dba First Physicians Group
- Gynecology Physician
- Sarasota, FL
- NPI 1275525826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562889600000",
"number": "1083041115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 863407",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328863407",
"telephone_number": "941-917-2600",
"fax_number": "941-917-7884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14405 ARBOR GREEN TRL",
"city": "LAKEWOOD RANCH",
"state": "FL",
"postal_code": "342028409",
"telephone_number": "941-917-7080",
"fax_number": "941-917-7085"
}
],
"practiceLocations": [
{
"address_1": "8430 Enterprise Cir",
"address_2": "Suite 130",
"address_purpose": "LOCATION",
"city": "Lakewood Ranch",
"state": "FL",
"postal_code": "342024107",
"country_code": "US",
"telephone_number": "941-366-3000",
"fax_number": "941-366-3002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOWARTH",
"first_name": "ILYSA",
"middle_name": "KARIN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-03",
"last_updated": "2019-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9108415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood Ranch, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.