Happy Hearts Surgical Assist LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA3593 Issued in FL

Legal business name

HAPPY HEARTS SURGICAL ASSIST LLC

Practice address

4023 Palm PL
Weston, FL 33331-5036

Phone

(954) 298-1218

Fax

(954) 917-6817

NPI assigned

Dec 23, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Kenick, PA-C

Title

Physician Assistant

Phone

(954) 298-1218

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1482451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482451200000",
    "number": "1184169393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4023 PALM PL",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333315036",
            "telephone_number": "954-298-1218",
            "fax_number": "954-917-6817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4023 PALM PL",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333315036",
            "telephone_number": "954-298-1218",
            "fax_number": "954-917-6817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAPPY HEARTS SURGICAL ASSIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-23",
        "last_updated": "2016-12-23",
        "status": "A",
        "authorized_official_last_name": "KENICK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "954-298-1218",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA3593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darran James Hamm, D.C.
• Amer A Hanano, M.D.
• Carol Ann Hanna, D.P.T.
• Yvette Hanna, CCC-SLP
• Angelica Hanon, LMHC, ATR
• Jude Harding, PT
• Denise Cristina Hardt, CMHP
• David G Hardy, M.D.
• Jon Fredric Harrell
• Starlet Harrimon, APRN

• Surgical Physician Assistant in Weston, FL
• Providers in Weston, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2016; 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.