Alexa Kinder Camunas Miro, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

8340 Lakewood Ranch Blvd Ste 290
Lakewood Ranch, FL 34202-5182

Phone

(941) 254-6767

Fax

(941) 213-6991

NPI assigned

Dec 26, 2019

Sex

Female

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Manatee Specialty Physician Alliance LLCGroup PAC ID 8921473927, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lakewood Ranch Medical Center Hospital, Bradenton, FL, CCN 100299

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Manatee Specialty Physician Alliance, LLC

  • Orthopaedic Surgery Physician
  • Bradenton, FL
  • NPI 1881304624
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lakewood Ranch Medical Center

  • General Acute Care Hospital
  • Bradenton, FL
  • NPI 1730179714
  Care Compare affiliation

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1417596255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 LAKEWOOD RANCH BLVD STE 290",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025182",
            "telephone_number": "941-254-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 LAKEWOOD RANCH BLVD STE 290",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025182",
            "telephone_number": "941-254-6767",
            "fax_number": "941-213-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMUNAS MIRO",
        "first_name": "ALEXA",
        "middle_name": "KINDER",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-26",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Louise Calhoun
• Joseph Francis Callaghan, MD
• Julie Calmes, DN
• Camelot Community Care, Inc
• Camelot Community Care, Inc
• Madison Canterbury
• Hannah Capotosto
• Samantha Caputa
• Matias Carbone
• Care Bridge International, Inc.

• Surgical Physician Assistant in Lakewood Ranch, FL
• Providers in Lakewood Ranch, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.