Anthony Lee Alexander, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9104664 Issued in FL

Practice address

96 Medical Group, Eglin AFB
307 Boatner Road, Suite 114
Eglin AFB, FL 32542

Phone

(850) 883-8345

NPI assigned

Apr 11, 2006

Last updated

Dec 17, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Merit-based Incentive Payment System (MIPS)

Final score

81.79 of 100Reported as group

Quality

64.42

Promoting interoperability

100

Improvement activities

40

Cost

74.88

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Ortho Florida, LLC

  • Specialist
  • Boca Raton, FL
  • NPI 1821113192
  Medicare reassignment NPD
• Gulf Coast Multispeciality Services, LLC

  • Surgery Physician
  • Panama City, FL
  • NPI 1649296088
  Medicare reassignment
• North Florida Surgeons, PA

  dba NFS Florida Bone and Joint

  • Orthopaedic Surgery Physician
  • Gulf Breeze, FL
  • NPI 1871442053
  NPD
• North Florida Surgeons, PA

  • Surgery Physician
  • Jacksonville, FL
  • NPI 1912953290
  NPD
• Ortho Florida, LLC

  dba Wells Orthopedic Surgery & Sports Medicine

  • Orthopaedic Surgery Physician
  • Fort Lauderdale, FL
  • NPI 1225833858
  NPD
• Ogrady Orthopaedics PL

  • Orthopaedic Surgery Physician
  • Gulf Breeze, FL
  • NPI 1679880801
  NPD (past)

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1316900269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30532",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325031532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 MEDICAL GROUP, EGLIN AFB",
            "address_2": "307 BOATNER ROAD, SUITE 114",
            "city": "EGLIN AFB",
            "state": "FL",
            "postal_code": "32542",
            "telephone_number": "850-883-8345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "133 Racetrack Rd NW Ste A",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325471644",
            "country_code": "US",
            "telephone_number": "850-916-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "ANTHONY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9104664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josephus R Aguilar, P.A. STUDENT
• Buenaventura Quinto Aldana, M.D.
• Tina Dang Aldana, O.D.
• Shelley Aldrich, M.D.
• Kenneth Michael Alea, M.D.
• Leilani Ali, ARNP
• Amber Lynn Heyna Allen, D.O., M.S.
• Esther Christine Allen, PHYSICIAN ASSISTANT
• Robyn Noelle Allen, LCSW
• Armand Allkanjari, MD

• Surgical Physician Assistant in Eglin AFB, FL
• Providers in Eglin AFB, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.