Active NPI
Mara O'Mara
- Physician Assistant
- Plantation, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9108429
- Practice address
- 8201 W Broward Blvd
Plantation, FL 33324-2701 - Phone
- (954) 476-3900
- NPI assigned
- Dec 31, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9108429 | FL | Primary |
Addresses
Primary practice location
8201 W Broward Blvd
Plantation, FL 33324-2701
Mailing address
8201 W Broward Blvd
Plantation, FL 33324-2701
Phone (954) 476-3900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9108429 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Professionals of Colorado, PC | Physician Assistant | Current | Accepting new patients |
| FL-I Medical Services LLC | Physician Assistant | Current | Accepting new patients |
| FL-I Medical Services, LLC | Physician Assistant | Current | Accepting new patients |
| Phoenix Emergency Medicine of Broward LLC | Current | Accepting new patients | |
| Emergency Professionals of Colorado, PC | Physician Assistant | Past | Accepting new patients |
| Emergency Professionals of Colorado, PC | Physician Assistant | Past | Accepting new patients |
| Emergency Professionals of Colorado, PC | Physician Assistant | Past | Accepting new patients |
Locations
5000 Hopyard Rd
Ste 100
Pleasanton, CA 94588
Phone (480) 861-4015
4700 Lady Moon Dr
Fort Collins, CO 80528
Phone (970) 521-4600
1801 16th St
Greeley, CO 80631
Phone (970) 352-4121
2000 70th Ave
Greeley, CO 80634
Phone (970) 352-7366
2000 Boise Ave
Loveland, CO 80538
Phone (970) 635-4071
615 Fairhurst St
Sterling, CO 80751
Phone (970) 521-0322
201 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 786-6400
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900
3114 Croasdaile Dr
#200
Durham, NC 27705
Phone (877) 751-1157
Organizations & group practices 10
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.
-
- Emergency Medicine Physician
- Coral Springs, FL
- NPI 1871542969
FL
-
- Physician Assistant
- Haines City, FL
- NPI 1285356790
-
- Emergency Medicine Physician
- Gainesville, FL
- NPI 1871155887
Physician Assistant
-
- Emergency Medicine Physician
- Deerfield Beach, FL
- NPI 1407805591
-
- Emergency Medicine Physician
- Greeley, CO
- NPI 1366835415
Physician Assistant
-
- Emergency Medicine Physician
- Greeley, CO
- NPI 1306421201
Physician Assistant
-
- Emergency Medicine Physician
- Sterling, CO
- NPI 1558946467
Physician Assistant
-
- Emergency Medicine Physician
- Fort Collins, CO
- NPI 1588249494
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675641600000",
"number": "1265820153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8201 W BROWARD BLVD",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333242701",
"telephone_number": "954-476-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8201 W BROWARD BLVD",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333242701",
"telephone_number": "954-476-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'MARA",
"first_name": "MARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-31",
"last_updated": "2023-02-06",
"certification_date": "2023-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "9108429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.