Individual provider Active NPI

Jodi A Arnold Burkholz, P.A.-C.

  • Physician Assistant
  • Boynton Beach, FL
National Provider Identifier
1104907435
Registry record updated May 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9101690 Issued in FL
Practice address
7740 Boynton Beach Blvd
Boynton Beach, FL 33437-3804
Phone
(561) 752-8000
Fax
(561) 752-8001
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2012

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 PA9101690 FL Primary

Addresses

Primary practice location

7740 Boynton Beach Blvd
Boynton Beach, FL 33437-3804

Mailing address

7740 Boynton Beach Blvd
Boynton Beach, FL 33437-3804
Phone (561) 752-8000

Other identifiers 1

IdentifierTypeStateIssuer
PA9101690OtherFLPA LICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110531000469 FL Practitioner - Physician Assistant 6406033422 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schweiger Dermatology Group PAGroup PAC ID 9234239757, 42 clinicians

Practice addresses (Care Compare)

4700 N Congress Ave
Suite 100
West Palm Beach, FL 33407-3284
Phone (561) 806-0030

8230 S Jog Rd
Boynton Beach, FL 33472-2938
Phone (561) 739-9595

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9101690FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Care Physicians Past Accepting new patients
American Mobile Dermatology LLC Past Accepting new patients
S FL Behavioral Health Assoc, LLC PastSince Jul 31, 2025 Accepting new patients

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338336000000",
    "number": "1104907435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7740 BOYNTON BEACH BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373804",
            "telephone_number": "561-752-8000",
            "fax_number": "561-752-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7740 BOYNTON BEACH BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373804",
            "telephone_number": "561-752-8000",
            "fax_number": "561-752-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD BURKHOLZ",
        "first_name": "JODI",
        "middle_name": "A",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2012-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE",
            "identifier": "PA9101690",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.