Petrine Fardette, PA C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA3368 Issued in FL

Practice address

3000 Bayview Dr
Fort Lauderdale, FL 33306-1772

Phone

(954) 567-1332

Fax

(954) 537-7705

NPI assigned

Jul 24, 2006

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 identifiers 1

Other names 1

• Petrine Hinrichsen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

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.

• Tenet Florida Physician Services II, LLC

  dba Cantor Spine Center-At The Paley Orthopedic & Spine Institute

  • Durable Medical Equipment & Medical Supplies
  • Boca Raton, FL
  • NPI 1770391286
  NPD
• Tenet Florida Physician Services II, LLC

  • Orthopaedic Surgery Physician
  • West Palm Beach, FL
  • NPI 1912266420

  Physician Assistant

  NPD
• Lauderdale Orthopaedic Surgeons LLP

  • Orthopaedic Surgery Physician
  • Fort Lauderdale, FL
  • NPI 1336190537
  NPD (past)
• Lauderdale Orthopaedic Surgeons LLP

  • Orthopaedic Surgery Physician
  • Boca Raton, FL
  • NPI 1588615785
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1205858719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 BAYVIEW DR",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061772",
            "telephone_number": "954-567-1332",
            "fax_number": "954-537-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 BAYVIEW DR",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061772",
            "telephone_number": "954-567-1332",
            "fax_number": "954-537-7705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 Pga Blvd",
            "address_2": "Suite 500",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334102823",
            "country_code": "US",
            "telephone_number": "561-694-7776",
            "fax_number": "561-776-8486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARDETTE",
        "first_name": "PETRINE",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "ME0044395",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA3368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290935900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PETRINE",
            "last_name": "HINRICHSEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Family Vision Institute of South Florida Inc. (Vision Source Fort Lauderdale)
• Suleidy Fana Suero, LCMHC
• Leilani Fandino, MS LMHC
• Stefano Fanfoni, LMFT, PHD CANDIDATE
• Mathew Farbman
• Marcela Elizabeth Farias, RBT
• Terri Farner, M.S.
• Joseph Farone, LCSW, CEAP, SAP
• Sanat Farraj
• Denise Farrell, PHD

• Surgical Physician Assistant in Fort Lauderdale, FL
• Providers in Fort Lauderdale, 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 Oct 8, 2019; 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.