Active NPI
Calvin Richard Finley, PA
- Physician Assistant
- Davie, FL
National Provider Identifier
1366793580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 2874
- Practice address
- 3200 S University Dr
Physician Assistant Department
Davie, FL 33328-2018 - Phone
- (954) 262-1288
- Fax
- (954) 262-2285
- NPI assigned
- Sep 27, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | PA 2874 | FL | Primary |
Addresses
Primary practice location
3200 S University Dr
Physician Assistant Department
Davie, FL 33328-2018
Mailing address
3200 S University Dr
Physician Assistant Department
Davie, FL 33328-2018
Phone (954) 262-1288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 2874 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348704000000",
"number": "1366793580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 S UNIVERSITY DR",
"address_2": "PHYSICIAN ASSISTANT DEPARTMENT",
"city": "DAVIE",
"state": "FL",
"postal_code": "333282018",
"telephone_number": "954-262-1288",
"fax_number": "954-262-2285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 S UNIVERSITY DR",
"address_2": "PHYSICIAN ASSISTANT DEPARTMENT",
"city": "DAVIE",
"state": "FL",
"postal_code": "333282018",
"telephone_number": "954-262-1288",
"fax_number": "954-262-2285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINLEY",
"first_name": "CALVIN",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-27",
"last_updated": "2012-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA 2874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.