Individual provider Active NPI

Yana Dodea, PA-C

  • Physician Assistant
  • Hallandale Beach, FL
National Provider Identifier
1457658023
Registry record updated Sep 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9105920 Issued in FL
Practice address
815 NE 27TH Ave
Hallandale Beach, FL 33009-2945
Phone
(954) 699-5161
NPI assigned
Feb 17, 2011
Last updated
Sep 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2020

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 PA9105920 FL Primary

Addresses

Primary practice location

815 NE 27TH Ave
Hallandale Beach, FL 33009-2945

Mailing address

815 NE 27TH Ave
Hallandale Beach, FL 33009-2945
Phone (954) 699-5161

Other names 1

  • Yana Tashlitskaya Former name

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
I20180320001482 FL Practitioner - Physician Assistant 9537421169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2229 N Commerce Pkwy
Weston Outpatient Surgery Center
Weston, FL 33326-3239
Phone (954) 703-3007

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health Consulting Associates LLC PastSince Oct 20, 2015 Accepting new patients
Prohealth Select, Inc. Physician Assistant PastSince Dec 17, 2020 Accepting new patients

Organizations & group practices 3

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 1

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": "1297900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599955200000",
    "number": "1457658023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 NE 27TH AVE",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092945",
            "telephone_number": "954-699-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 NE 27TH AVE",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092945",
            "telephone_number": "954-699-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODEA",
        "first_name": "YANA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-17",
        "last_updated": "2020-09-13",
        "certification_date": "2020-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9105920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YANA",
            "last_name": "TASHLITSKAYA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hallandale Beach, FL

Sources for this page

Verify at the official NPI Registry.