Active NPI
Dana Marie Hess, P.A.C.
- Surgical Physician Assistant
- Brandon, FL
National Provider Identifier
1255562971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PAT 9105037
- Practice address
- 721 W Robertson St
Ste 102
Brandon, FL 33511-4934 - Phone
- (813) 684-3707
- Fax
- (813) 865-5843
- NPI assigned
- Jul 29, 2009
- Last updated
- Jul 29, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | NU | ||
| Surgical Physician Assistant | 363AS0400X | PAT 9105037 | FL | Primary |
Addresses
Primary practice location
721 W Robertson St
Ste 102
Brandon, FL 33511-4934
Mailing address
721 W Robertson St
Ste 102
Brandon, FL 33511-4934
Phone (813) 684-3707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PAT 9105037 | FL | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Okun and Maddalon M.D. PA | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248825600000",
"number": "1255562971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 W ROBERTSON ST",
"address_2": "STE 102",
"city": "BRANDON",
"state": "FL",
"postal_code": "335114934",
"telephone_number": "813-684-3707",
"fax_number": "813-865-5843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 W ROBERTSON ST",
"address_2": "STE 102",
"city": "BRANDON",
"state": "FL",
"postal_code": "335114934",
"telephone_number": "813-684-3707",
"fax_number": "813-865-5843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HESS",
"first_name": "DANA",
"middle_name": "MARIE",
"credential": "P.A.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-29",
"last_updated": "2009-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PAT 9105037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.