Individual provider Active NPI

Addy Mauro Tuthill, PA

  • Physician Assistant
  • Oakland Park, FL
National Provider Identifier
1447623004
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9108940 Issued in FL
Practice address
3201 N Federal Hwy
Suite 305
Oakland Park, FL 33306-1060
Phone
(561) 507-0800
NPI assigned
Nov 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9108940 FL Primary

Addresses

Primary practice location

3201 N Federal Hwy
Suite 305
Oakland Park, FL 33306-1060

Mailing address

1900 S Ocean Blvd
Apt 2R
Pompano Beach, FL 33062-8010

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

LicenseStateTypeSpecialty
PA9108940FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Specialists of South Florida, LLC Past Accepting new patients
Spine Specialists of South Florida LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1447623004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S OCEAN BLVD",
            "address_2": "APT 2R",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330628010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 N FEDERAL HWY",
            "address_2": "SUITE 305",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333061060",
            "telephone_number": "561-507-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTHILL",
        "first_name": "ADDY",
        "middle_name": "MAURO",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-04",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.