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
- 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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA9109137 | Other | FL | LICENSE |
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
- Baptist Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- 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
8715 Village Dr
Ste 120
San Antonio, TX 78217
Phone 2104775151 ext. 108
3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126
3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126
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 and National Provider Directory roles.
-
- 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
-
- Durable Medical Equipment & Medical Supplies
- Boerne, TX
- NPI 1730079286
-
- 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.
-
- 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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PA9109137",
"state": "FL"
}
],
"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.