Theodore Anastasios Pantaridis, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9103667 Issued in FL

Practice address

5818 S Dixie Hwy
West Palm Beach, FL 33405-3608

Phone

(561) 429-4779

NPI assigned

Mar 2, 2009

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

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urgent Care of the Palm Beaches PAGroup PAC ID 3375702830, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Urgent Care of the Palm Beaches, PA

  • Urgent Care Clinic/Center
  • North Palm Beach, FL
  • NPI 1609159995
  Medicare reassignment Care Compare group
• Wellington Internal Medicine Group PA

  • Internal Medicine Physician
  • Wellington, FL
  • NPI 1154426591
  Medicare reassignment
• Royal Palm Medical Care, LLC

  • Primary Care Clinic/Center
  • Royal Palm Beach, FL
  • NPI 1700736840
  NPD (past)
• Urgent Care of the Palm Beaches

  • Urgent Care Clinic/Center
  • West Palm Beach, FL
  • NPI 1609257922
  NPD (past)

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1376783548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12067 BASIN ST W",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334145754",
            "telephone_number": "561-639-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5818 S DIXIE HWY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334053608",
            "telephone_number": "561-429-4779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11951 US Highway 1 Ste 108",
            "address_purpose": "LOCATION",
            "city": "North Palm Beach",
            "state": "FL",
            "postal_code": "334082804",
            "country_code": "US",
            "telephone_number": "561-429-6109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3537 Forest Hill Blvd",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334065867",
            "country_code": "US",
            "telephone_number": "561-328-8433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANTARIDIS",
        "first_name": "THEODORE",
        "middle_name": "ANASTASIOS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-02",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9103667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Pangilinan, DPT
• Lissett Paniagua Paniagua
• Amairany Paniagua
• Lorraine Pank, PTA
• Pansy's Place
• Hugh Grant Panton II, C.P.O. , B.O.C.P.
• Nicola Paolucci, PTA, LMT, CLT.LANA
• Lisa Paonessa, LCSW
• Liliana M Parages
• Paragon Contracting Services LLC

• Medical Physician Assistant in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.
• 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.