Organization Active NPI

Patricia a Masse MD LLC

  • Surgery Physician
  • Wellington, FL
National Provider Identifier
1255647475
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
PATRICIA A MASSE MD LLC
Practice address
10115 Forest Hill Blvd
Suite 104
Wellington, FL 33414-3105
Phone
(561) 337-3600
Fax
(561) 337-3604
NPI assigned
Aug 25, 2010
Last updated
Mar 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Authorized official

Name
Dr. Patricia A Masse, M.D.NPI 1871674770
Title
President
Phone
(561) 337-3600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

10115 Forest Hill Blvd
Suite 104
Wellington, FL 33414-3105

Mailing address

PO Box 211328
West Palm Beach, FL 33421-1328
Phone (561) 337-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100826000303 FL Part B Supplier - Clinic/Group Practice 6901920016 Receives reassigned benefits from 1 practitioner
Practice locations: Wellington, FL
O20231121000896 FL DME Supplier - Physician - General Surgery 6901920016 Practice locations: Wellington, FL

National Provider Directory

National Provider Directory

Locations

13005 State Road 80
Ste 233
Loxahatchee, FL 33470
Phone (561) 337-4336

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1255647475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211328",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334211328",
            "telephone_number": "561-337-3600",
            "fax_number": "561-337-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10115 FOREST HILL BLVD",
            "address_2": "SUITE 104",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143105",
            "telephone_number": "561-337-3600",
            "fax_number": "561-337-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA A MASSE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-25",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "MASSE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-337-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.