Active NPI
Adam Suchecki, PA-C
- Surgical Physician Assistant
- Brandon, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA9109137
- Practice address
- 1007 Professional Park Dr
Brandon, FL 33511-4886 - Phone
- (813) 651-3300
- Fax
- (813) 651-4455
- NPI assigned
- Oct 14, 2015
- Last updated
- Oct 14, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA9109137 | FL | Primary |
Addresses
Primary practice location
1007 Professional Park Dr
Brandon, FL 33511-4886
Mailing address
1007 Professional Park Dr
Brandon, FL 33511-4886
Phone (813) 651-3300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1635 Caregiver Cir
Rapid City, SD 57702-8529
Phone (605) 755-6100
16400 Blanco Rd
San Antonio, TX 78232-1902
Phone (210) 572-4954
353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (605) 755-1000
3903 Wiseman Blvd
San Antonio, TX 78251-4402
Phone (210) 946-1400
6704 Randolph Blvd
Live Oak, TX 78233-4222
Phone (210) 477-5151
8715 Village Dr
Suite 120
San Antonio, TX 78217-5425
Phone (210) 477-5151
8811 Village Dr
San Antonio, TX 78217-5415
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1406 | SD | MD | Physical Therapist |
| PA9109137 | FL | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHS Physicians Network, Inc | Current | Accepting new patients | |
| BHS Physicians Network, Inc | Current | Accepting new patients | |
| BHS Specialty Network Inc | Past | Accepting new patients |
Locations
12709 Toepperwein Rd
Ste 101
Live Oak, TX 78233
6704 Randolph Blvd
Live Oak, TX 78233
Phone (210) 656-9506
18707 Hardy Oak Blvd
Ste 415
San Antonio, TX 78258
Phone 2104775151 ext. 108
3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126
3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126
8715 Village Dr
Ste 120
San Antonio, TX 78217
Phone (210) 653-5001
17766 Verde Pkwy
Ste 150
Selma, TX 78154
Interoperability endpoints
- adam.suchecki.1@1438.direct.athenahealth.com
Organizations & group practices 6
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 Surgical Oncology Associates of South Texas
- Family Medicine Physician
- San Antonio, TX
- NPI 1598958431
-
- Orthopaedic Surgery Physician
- Rapid City, SD
- NPI 1730797184
-
- Surgery Physician
- Corpus Christi, TX
- NPI 1407322415
-
- Rehabilitation Clinic/Center
- San Antonio, TX
- NPI 1962054858
-
dba Orthopedic Performance Institute
- Durable Medical Equipment & Medical Supplies
- Boerne, TX
- NPI 1730079286
-
dba Heart & Vascular Institute of Texas
- Cardiovascular Disease Physician
- San Antonio, TX
- NPI 1831492651
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Medical Center
- General Acute Care Hospital
- San Antonio, TX
- NPI 1598744856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444780800000",
"number": "1134590391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1007 PROFESSIONAL PARK DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335114886",
"telephone_number": "813-651-3300",
"fax_number": "813-651-4455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 PROFESSIONAL PARK DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335114886",
"telephone_number": "813-651-3300",
"fax_number": "813-651-4455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUCHECKI",
"first_name": "ADAM",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-14",
"last_updated": "2015-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA9109137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.