Organization Active NPI

Hopkins Surgical Assistance, Inc.

  • Surgical Physician Assistant
  • Palm Harbor, FL
National Provider Identifier
1417036450
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA2314 & PA2614 Issued in FL
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DC7366OtherFLRAILROAD GROUP #
X1569OtherFLBCBS GROUP #
291686000MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.