Organization Active NPI

First Assist Surgical Solutions

  • Surgical Physician Assistant
  • Pompano Beach, FL
National Provider Identifier
1336760297
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
FIRST ASSIST SURGICAL SOLUTIONS
Practice address
777 S Federal Hwy Apt K305
Pompano Beach, FL 33062-5992
Phone
(561) 703-3590
NPI assigned
May 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2020

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

Authorized official

Name
Christine D Collins, PA-CNPI 1407871494
Title
MGR
Phone
(561) 703-3590

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

777 S Federal Hwy Apt K305
Pompano Beach, FL 33062-5992

Mailing address

PO Box 10872
Pompano Beach, FL 33061-6872
Phone (561) 703-3590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210316000065 FL Part B Supplier - Clinic/Group Practice 0749696805 Receives reassigned benefits from 1 practitioner
Practice locations: Pompano Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588550400000",
    "number": "1336760297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10872",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330616872",
            "telephone_number": "561-703-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S FEDERAL HWY APT K305",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330625992",
            "telephone_number": "561-703-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST ASSIST SURGICAL SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-01",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "561-703-3590",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; 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.