Individual provider Active NPI

Hassan Emanuel Flowers, PA-C

  • Medical Physician Assistant
  • Kissimmee, FL
National Provider Identifier
1104909480
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA 9103841 Issued in FL
Practice address
720 W Oak St
Suite 101
Kissimmee, FL 34741-4989
Phone
(407) 343-7799
Fax
(407) 343-0099
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA 9103841 FL Primary

Addresses

Primary practice location

720 W Oak St
Suite 101
Kissimmee, FL 34741-4989

Mailing address

1162 Cypress Glen Cir
Kissimmee, FL 34741-7560
Phone (407) 343-9006

Other names 1

  • Mr. Herman Emanuel Flowers Former name

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
I20061205000304 FL Practitioner - Physician Assistant 5698774404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida ENT Adult and Pediatric PAGroup PAC ID 3971532763, 7 clinicians

Practice addresses (Care Compare)

1162 Cypress Glen Cir
Kissimmee, FL 34741-7560
Phone (407) 343-9006

720 W Oak St
Suite 101
Kissimmee, FL 34741-4990
Phone (407) 343-9006

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA 9103841FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida ENT Adult & Pediatrics, PA Medical Current Accepting new patients

Locations

1162 Cypress Glen Cir
Kissimmee, FL 34741
Phone (407) 343-9006

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1104909480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1162 CYPRESS GLEN CIR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417560",
            "telephone_number": "407-343-9006",
            "fax_number": "407-343-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W OAK ST",
            "address_2": "SUITE 101",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414989",
            "telephone_number": "407-343-7799",
            "fax_number": "407-343-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOWERS",
        "first_name": "HASSAN",
        "middle_name": "EMANUEL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA 9103841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HERMAN",
            "last_name": "FLOWERS",
            "middle_name": "EMANUEL",
            "prefix": "MR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.