Krayssa Surgical Assist, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9104341 Issued in FL

Legal business name

KRAYSSA SURGICAL ASSIST, PA

Practice address

601 NW 82ND Ave Apt 331
Plantation, FL 33324-1397

Phone

(954) 648-7850

NPI assigned

May 24, 2016

Organization subpart

No

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

Authorized official

Name

Watfa Krayssa, PAC

Title

President/Ceo

Phone

(954) 648-7850

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1104274760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 NW 82ND AVE APT 331",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241397",
            "telephone_number": "954-648-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 NW 82ND AVE APT 331",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241397",
            "telephone_number": "954-648-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRAYSSA SURGICAL ASSIST, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "KRAYSSA",
        "authorized_official_first_name": "WATFA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "954-648-7850",
        "authorized_official_credential": "PAC"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9104341",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9104341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kozy Kove Assisted Living Facility
• Daniel Christopher Krahn, PTA
• David Roy Kramer, M.D.
• Nicole Samantha Kramer, LCSW
• Neil Kravitz
• Jared Kreisberg, M.S.,LMHC
• Joan Kreisberg, LMHC
• Lawrence Kreisberg, LMHC
• Darren T Kreitman, DC
• Justyna A Krempin, LAT ATC

• Surgical Physician Assistant in Plantation, FL
• Providers in Plantation, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.