Taisha McIntyre, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9111718 Issued in FL

Practice address

1601 N Palm Ave
Ste 211
Pembroke Pines, FL 33026-3204

Phone

(954) 447-0010

Fax

(954) 447-0899

NPI assigned

Jan 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Taisha Bowen Brown Former name

Medicare fee-for-service enrollment

Enrolled in NC, FL2 enrollments

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 2

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.

• Compass Health Systems of North Carolina

  • Psychiatry Physician
  • Charlotte, NC
  • NPI 1821338963
  Medicare reassignment NPD
• Ori Health PLLC

  • Physician Assistant
  • North Miami, FL
  • NPI 1477446490
  NPD Authorized official
• Compass Health Systems, P.a.

  • Psychiatry Physician
  • North Miami, FL
  • NPI 1619965795
  Medicare reassignment
• Tampa General Medical Group Inc

  • Surgery Physician
  • Tampa, FL
  • NPI 1043557853
  Medicare reassignment
• Compass Health Systems, P.a.

  • Psychiatry Physician
  • Orlando, FL
  • NPI 1194392498
  NPD

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1194882290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 NE 125TH ST STE 300",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615833",
            "telephone_number": "888-852-6672",
            "fax_number": "305-891-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N PALM AVE",
            "address_2": "STE 211",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263204",
            "telephone_number": "954-447-0010",
            "fax_number": "954-447-0899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1065 NE 125th St",
            "address_2": "Ste 206",
            "address_purpose": "LOCATION",
            "city": "North Miami",
            "state": "FL",
            "postal_code": "331615832",
            "country_code": "US",
            "telephone_number": "305-891-0050",
            "fax_number": "305-891-0497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10301 HAGEN RANCH RD STE B200",
            "address_purpose": "LOCATION",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373723",
            "country_code": "US",
            "telephone_number": "561-752-9490",
            "fax_number": "561-752-9491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7481 W Oakland Park Blvd",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tamarac",
            "state": "FL",
            "postal_code": "333194985",
            "country_code": "US",
            "telephone_number": "954-771-7743",
            "fax_number": "954-771-7748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11430 N KENDALL DR STE 106",
            "address_purpose": "LOCATION",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761024",
            "country_code": "US",
            "telephone_number": "305-279-5535",
            "fax_number": "305-279-2742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "TAISHA",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001000301",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAISHA",
            "last_name": "BOWEN BROWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Roberto McGrath, PT, DPT
• Jonathan Estevan McGuire, MD
• MCH Counseling LLC
• Katiuska McIntosh Falcon, DMD
• Lester McIntyre, MD
• Iain McIver
• Brenda Jean McKenzie
• Adam M McKinnon Sr., APRN, FNP-C
• Carol McKinnon, ARNP, NP-C
• Keane Wynette McLean-Davidson

• Physician Assistant in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.