Individual provider Active NPI

Beth Umansky, P.A.-C.

  • Medical Physician Assistant
  • Fort Lauderdale, FL
National Provider Identifier
1255760674
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9107407 Issued in FL
Practice address
1330 SE 4TH Ave Ste B
Fort Lauderdale, FL 33316-1958
Phone
(954) 463-3804
Fax
(954) 463-3805
NPI assigned
Nov 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9107407 FL Primary

Addresses

Primary practice location

1330 SE 4TH Ave Ste B
Fort Lauderdale, FL 33316-1958

Mailing address

1330 SE 4TH Ave Ste B
Fort Lauderdale, FL 33316-1958
Phone (954) 463-3804

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131211000469 FL Practitioner - Physician Assistant 2860629219 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of FL, LLCGroup PAC ID 9234596743, 513 clinicians

Practice addresses (Care Compare)

3600 S Highlands Ave
Sebring, FL 33870-5416
Phone (863) 385-6101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cahaba Orthopedics LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9219/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1255760674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 SE 4TH AVE STE B",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161958",
            "telephone_number": "954-463-3804",
            "fax_number": "954-463-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 SE 4TH AVE STE B",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161958",
            "telephone_number": "954-463-3804",
            "fax_number": "954-463-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMANSKY",
        "first_name": "BETH",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9107407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.