Active NPI
William Daniel Correal, PA-C
- Medical Physician Assistant
- Coral Springs, FL
National Provider Identifier
1407120272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9109760
- Practice address
- 5810 Coral Ridge Dr Ste 300
Coral Springs, FL 33076-3377 - Phone
- (954) 414-7700
- Fax
- (954) 840-0850
- NPI assigned
- Feb 26, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9109760 | FL | Primary |
Addresses
Primary practice location
5810 Coral Ridge Dr Ste 300
Coral Springs, FL 33076-3377
Mailing address
900 S Pine Island Rd Ste 800
Plantation, FL 33324-3923
Phone (954) 753-7870
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107282500 | Medicaid | FL |
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 |
|---|---|---|---|
| PA9109760 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saltzman, Tanis, Pittell, Levin and Jacobson | Past | Accepting new patients | |
| Saltzman, Tanis, Pittell, Levin and Jacobson, LLC | Past | Accepting new patients | |
| Saltzman, Tanis, Pittel, Levin and Jacobson, LLC | Past | Accepting new patients | |
| Saltzman, Tanis, Pittell, Levin and Jacobson, LLC | Past | Accepting new patients | |
| Saltzman, Tanis, Pittell, Levin and Jacobson, LLC | Past | Accepting new patients | |
| M.Haroon Siddiqui M.D.,P.a. | Past | Accepting new patients |
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Pediatric Associates
- Pediatrics Physician
- Lauderdale Lakes, FL
- NPI 1972711489
-
dba Pediatric Associates
- Pediatrics Physician
- Hollywood, FL
- NPI 1639138480
-
dba Pediatric Associates
- Pediatrics Physician
- Hollywood, FL
- NPI 1306264973
-
dba Pediatric Associates
- Pediatrics Physician
- Weston, FL
- NPI 1356559025
-
dba Pediatric Associates
- Pediatrics Physician
- Pembroke Pines, FL
- NPI 1881802544
-
- Pediatrics Physician
- Houston, TX
- NPI 1427683176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637712000000",
"number": "1407120272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 S PINE ISLAND RD STE 800",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333243923",
"telephone_number": "954-753-7870",
"fax_number": "954-752-0032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5810 CORAL RIDGE DR STE 300",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330763377",
"telephone_number": "954-414-7700",
"fax_number": "954-840-0850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORREAL",
"first_name": "WILLIAM",
"middle_name": "DANIEL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-26",
"last_updated": "2021-11-24",
"certification_date": "2021-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9109760",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "107282500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.