NPIMap

Individual provider Active NPI

Tashanya Campos, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Orlando, FL
National Provider Identifier
1093224172
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9114037 Issued in FL
Practice address
464 N Alafaya TRL Ste 108
Orlando, FL 32828-4350
Phone
(407) 254-2500
NPI assigned
Sep 21, 2017
Last updated
May 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9114037 FL Primary

Addresses

Primary practice location

464 N Alafaya TRL Ste 108
Orlando, FL 32828-4350

Mailing address

25 W Crystal Lake St Ste 200
Orlando, FL 32806-4476
Phone (407) 254-2500

Other practice location 1

45 W Crystal Lake St Ste 197
Orlando, FL 32806-4462
Phone (407) 254-2510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171222001321 CA Practitioner - Physician Assistant 2860750734 Reassigns benefits to 1 organization
I20210430002396 FL Practitioner - Physician Assistant 2860750734 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians

Practice addresses (Care Compare)

1055 Saxon Blvd
Orange City, FL 32763-8468
Phone (386) 917-5000

1061 Medical Ctr Dr
Orange City, FL 32763-8227

301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone (386) 231-6000

701 W Plymouth Ave
Deland, FL 32720-3236
Phone (386) 943-4522

742 W Plymouth Ave
Ahmg Neurology at Deland
Deland, FL 32720-3282
Phone (386) 943-3190

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.31 of 100Reported as group
Quality
88.59
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
55006CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rothman Orthopaedics of Florida,PLLC CurrentSince Apr 26, 2021 Accepting new patients

Locations

7975 Lake Underhill Rd
Ste 330
Orlando, FL 32822
Phone (407) 303-6566

255 N Lakemont Ave
Winter Park, FL 32792
Phone (407) 647-6070

255 N Lakemont Ave
Ste 207
Winter Park, FL 32792
Phone (407) 852-5333

833 Chestnut St
Ste 520
Philadelphia, PA 19107
Phone (267) 592-6191

Interoperability endpoints

  • Direct secure messaging: tcampos127498@adventhealth.direct-ci.com
  • Direct secure messaging: twilson272021@direct.llu.edu

Organizations & group practices 10

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1093224172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W CRYSTAL LAKE ST STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064476",
            "telephone_number": "407-254-2500",
            "fax_number": "407-423-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 N ALAFAYA TRL STE 108",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284350",
            "telephone_number": "407-254-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 W Crystal Lake St Ste 197",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328064462",
            "country_code": "US",
            "telephone_number": "407-254-2510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPOS",
        "first_name": "TASHANYA",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-21",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9114037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.