Philip Lacson, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA 9107668 Issued in FL

Practice address

18100 NE 19TH Ave
#102
North Miami Beach, FL 33162-1606

Phone

(305) 949-6003

Fax

(305) 948-3911

NPI assigned

Nov 26, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• KND Development 59 LLC

  • Hospitalist Physician
  • Saint Petersburg, FL
  • NPI 1245569870
  Medicare reassignment
• Waddah Allaf MD PA

  • Pulmonary Disease Physician
  • Miami, FL
  • NPI 1255376661
  Medicare reassignment
• KND Development 59 LLC

  • Hospitalist Physician
  • Riviera Beach, FL
  • NPI 1417286477
  NPD
• KND Development 59, LLC

  • Hospitalist Physician
  • Broken Arrow, OK
  • NPI 1922950823
  NPD

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428796800000",
    "number": "1144650201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18100 NE 19TH AVE",
            "address_2": "#102",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331621606",
            "telephone_number": "305-949-6003",
            "fax_number": "305-948-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18100 NE 19TH AVE",
            "address_2": "#102",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331621606",
            "telephone_number": "305-949-6003",
            "fax_number": "305-948-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACSON",
        "first_name": "PHILIP",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-26",
        "last_updated": "2015-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 9107668",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA 9107668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kzaidman Services Inc
• L Y Global Services Corp
• La Patience
• Aviva Labrie, OTR/ L
• Lacasa Holding LLC
• Ladsolutions
• Ladsolutions
• Lakes Interventional Radiology Corp
• Angel Luis Lamas Mendez, M.D.
• Carrie Landess, M.D., P.A

• Medical Physician Assistant in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.