Florida Dermatologic Surgery & Aesthetics Institute PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

FLORIDA DERMATOLOGIC SURGERY & AESTHETICS INSTITUTE PA

Practice address

11950 County Road 101
Suite 203
The Villages, FL 32162-9332

Phone

(352) 430-2580

Fax

(352) 430-2651

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

Ashraf M Hassanein, MDNPI 1902811219

Title

Owner

Phone

(352) 430-2580

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

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

• Ashraf M Hassanein, MD

  • Dermatology Physician
  • The Villages, FL
  • NPI 1902811219
  Medicare reassignment Care Compare group NPD Authorized official
• Maria Lipari, PA

  • Medical Physician Assistant
  • The Villages, FL
  • NPI 1578936852
  Medicare reassignment Care Compare group
• Rosa Maria Singleton, PA-C

  • Physician Assistant
  • Orlando, FL
  • NPI 1578883039
  Medicare reassignment Care Compare group
• Sandra B Lopez, PA

  • Medical Physician Assistant
  • Port St Lucie, FL
  • NPI 1770676884
  Medicare reassignment
• Lindsey Gagnon, ARNP

  • Family Nurse Practitioner
  • The Villages, FL
  • NPI 1619497112
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1427180645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11950 COUNTY ROAD 101",
            "address_2": "SUITE 203",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321629332",
            "telephone_number": "352-430-2580",
            "fax_number": "352-430-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11950 COUNTY ROAD 101",
            "address_2": "SUITE 203",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321629332",
            "telephone_number": "352-430-2580",
            "fax_number": "352-430-2651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA DERMATOLOGIC SURGERY & AESTHETICS INSTITUTE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "HASSANEIN",
        "authorized_official_first_name": "ASHRAF",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-430-2580",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "68908",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in The Villages, FL
• Providers in The Villages, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.