Individual provider Active NPI

Lawrence Meiner, PA-C

  • Surgical Physician Assistant
  • Boynton Beach, FL
National Provider Identifier
1457589921
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
9111483 Issued in FL
Practice address
8404 Grand Messina Cir
Boynton Beach, FL 33472-7104
Phone
(917) 567-2896
NPI assigned
Jun 23, 2009
Last updated
May 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 004301 NY
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X 9111483 FL Primary

Addresses

Primary practice location

8404 Grand Messina Cir
Boynton Beach, FL 33472-7104

Mailing address

8404 Grand Messina Cir
Boynton Beach, FL 33472-7104
Phone (917) 567-2896

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20191106001964 FL Practitioner - Physician Assistant 8123280245 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Practitioners, LLCGroup PAC ID 1658688304, 63 clinicians

Practice addresses (Care Compare)

1000 NE 56TH St
Fort Lauderdale, FL 33334-4149
Phone (954) 229-8635

3360 Burns Rd
Palm Beach Gardens, FL 33410-4323
Phone (561) 622-1411

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9111483FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Consultants of South Florida, LLC Single Specialty CurrentSince Dec 1, 2019 Accepting new patients

Locations

4675 Linton Blvd
Ste 102
Delray Beach, FL 33445
Phone (561) 496-2525

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

Interoperability endpoints

  • Direct secure messaging: lmeiner20407@jupitermedicalcenter.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1457589921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8404 GRAND MESSINA CIR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334727104",
            "telephone_number": "917-567-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8404 GRAND MESSINA CIR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334727104",
            "telephone_number": "917-567-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEINER",
        "first_name": "LAWRENCE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-23",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "004301",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "9111483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.