Active NPI
Hopkins Surgical Assistance, Inc.
- Surgical Physician Assistant
- Palm Harbor, FL
National Provider Identifier
1417036450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA2314 & PA2614
- Legal business name
- HOPKINS SURGICAL ASSISTANCE, INC.
- Practice address
- 36181 E Lake Rd # 390
Palm Harbor, FL 34685-3142 - Phone
- (727) 781-8685
- Fax
- (727) 786-2852
- NPI assigned
- Nov 2, 2006
- Last updated
- Jul 7, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Beverly Hopkins, CO-OWNER
- Title
- VP/Sec
- Phone
- (727) 781-8685
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA2314 & PA2614 | FL | Primary |
Addresses
Primary practice location
36181 E Lake Rd # 390
Palm Harbor, FL 34685-3142
Mailing address
36181 E Lake Rd # 390
Palm Harbor, FL 34685-3142
Phone (727) 781-8685
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC7366 | Other | FL | RAILROAD GROUP # |
| X1569 | Other | FL | BCBS GROUP # |
| 291686000 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
2759 State Road 580
Ste 210
Clearwater, FL 33761
Phone (727) 796-1042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1436227200000",
"number": "1417036450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36181 E LAKE RD # 390",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346853142",
"telephone_number": "727-781-8685",
"fax_number": "727-786-2852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36181 E LAKE RD # 390",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346853142",
"telephone_number": "727-781-8685",
"fax_number": "727-786-2852"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPKINS SURGICAL ASSISTANCE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-02",
"last_updated": "2015-07-07",
"status": "A",
"authorized_official_last_name": "HOPKINS",
"authorized_official_first_name": "BEVERLY",
"authorized_official_title_or_position": "VP/SEC",
"authorized_official_telephone_number": "727-781-8685",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CO-OWNER"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA2314 & PA2614",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD GROUP #",
"identifier": "DC7366",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP #",
"identifier": "X1569",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "291686000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.