PA Resources, Inc.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA3323 Issued in FL

Legal business name

PA RESOURCES, INC.

Practice address

27032 Hollybrook TRL
Wesley Chapel, FL 33544-7434

Phone

(813) 345-4444

Fax

(813) 333-0445

NPI assigned

Dec 3, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Jerry Lynn Godding, ESQ.

Title

Credentialer

Phone

(727) 485-8900

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kenneth Coleman Rice, PA

  • Physician Assistant
  • Melbourne, FL
  • NPI 1710941059
  NPD

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1396176103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27032 HOLLYBROOK TRL",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335447434",
            "telephone_number": "813-345-4444",
            "fax_number": "813-333-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27032 HOLLYBROOK TRL",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335447434",
            "telephone_number": "813-345-4444",
            "fax_number": "813-333-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PA RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "GODDING",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CREDENTIALER",
        "authorized_official_telephone_number": "727-485-8900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA3323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.