Mindy Ann Siyufy, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9111355 Issued in FL

Practice address

13670 Walsingham Rd
Largo, FL 33774-3532

Phone

(727) 593-9848

Fax

(727) 596-4532

NPI assigned

Apr 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mindy Wietrzykowski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Networks

• Optimum HealthCare HMO Network

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.

• Blue Ridge Healthcare Partners, LLC

  • Primary Care Clinic/Center
  • Roanoke, VA
  • NPI 1518304955
  NPD (past)
• Braeburn Emergency Physicians LLC

  • Emergency Medicine Physician
  • Salem, VA
  • NPI 1467888263
  NPD (past)
• Southern Surgical Associates PLLC

  • Surgery Physician
  • Virginia Beach, VA
  • NPI 1154368975
  NPD (past)
• Virginia Beach Surgery, LTD

  • Surgery Physician
  • Virginia Beach, VA
  • NPI 1558614958
  NPD (past)
• West Penn Allegheny Health System, Inc.

  dba Dean Ornish Program

  • Cardiovascular Disease Physician
  • Pittsburgh, PA
  • NPI 1467466789
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1164487393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13670 WALSINGHAM RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337743532",
            "telephone_number": "727-593-9848",
            "fax_number": "727-596-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13670 WALSINGHAM RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337743532",
            "telephone_number": "727-593-9848",
            "fax_number": "727-596-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIYUFY",
        "first_name": "MINDY",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9111355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101406100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINDY",
            "last_name": "WIETRZYKOWSKI",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sipho, Inc.
• Salvatore J Sirico, PHARMD
• Madhvi Singh Sisodia, MD
• Brahmesh Sivaprakasapillai, M.D.
• Rita Sivils, DO
• Tara Lynn Skinner, MD
• SL Barrington Largo LLC
• Sara Ann Slack, R.PH
• Sleep Management Services, Inc.
• Sleep Solutions, LLC

• Medical Physician Assistant in Largo, FL
• Providers in Largo, 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 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.