Individual provider Active NPI

Tanit M. Santanna-Kahlowsky, PA-C

  • Family Medicine Physician
  • Tamarac, FL
National Provider Identifier
1265855860
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
PA9107622 Issued in FL
Practice address
9150 Whistable Walk
Tamarac, FL 33321-4173
Phone
(954) 274-9030
NPI assigned
Feb 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PA9107622 FL Primary

Addresses

Primary practice location

9150 Whistable Walk
Tamarac, FL 33321-4173

Mailing address

9150 Whistable Walk
Tamarac, FL 33321-4173
Phone (954) 274-9030

Other names 1

  • Tanit M. Kahlowsky Professional name

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
I20170227001090 FL Practitioner - Physician Assistant 3476871484

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13737 Noel Rd
Suite 1400
Dallas, TX 75240-2004

8400 NW 33Rd St
Suite 201
Doral, FL 33122-1937

9150 Whistable Walk
Tamarac, FL 33321-4173

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9107622FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guidewell Sanitas I, LLC Family Medicine CurrentSince Feb 16, 2020 Accepting new patients
Flos PA Past Accepting new patients

Locations

8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869

180 SW 84th Ave
Plantation, FL 33324
Phone (954) 271-2855

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1265855860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 WHISTABLE WALK",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333214173",
            "telephone_number": "954-274-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 WHISTABLE WALK",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333214173",
            "telephone_number": "954-274-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANNA-KAHLOWSKY",
        "first_name": "TANIT",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-03",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "PA9107622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANIT",
            "last_name": "KAHLOWSKY",
            "middle_name": "M.",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.