Veronica Teresa Vasquez-Bynum, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9105013 Issued in FL

Practice address

8960 Colonial Center Dr
Suite 204
Fort Myers, FL 33905-7810

Phone

(239) 343-9633

Fax

(239) 343-9635

NPI assigned

Dec 8, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Center for Primary Care Specialists, P.a.

  • Internal Medicine Physician
  • La Marque, TX
  • NPI 1861426033
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431561600000",
    "number": "1225197668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2147",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339022147",
            "telephone_number": "239-424-1449",
            "fax_number": "239-424-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8960 COLONIAL CENTER DR",
            "address_2": "SUITE 204",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339057810",
            "telephone_number": "239-343-9633",
            "fax_number": "239-343-9635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ-BYNUM",
        "first_name": "VERONICA",
        "middle_name": "TERESA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2015-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9105013",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03122",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001540600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Vascik, PA-C, MPAS, MS, ATC
• Vascular & General Surgical Consultants, LLC
• Vascular & General Surgical Specialists of SW Florida
• Jitka Vasek, MD
• Amanda Vasil
• Jenesis Vasquez
• Kelly Mee Yung Vasquez, LCSW
• Samantha Kathleen Vasquez
• Arvind Vasudevan, M.D.
• Roshan K Vatthyam, MD

• Physician Assistant in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.