Individual provider Active NPI

Bethany Markman, PA-C

  • Physician Assistant
  • Mountain View, CA
National Provider Identifier
1487081550
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9107558 Issued in FL
Practice address
2525 Charleston Rd Ste 104
Mountain View, CA 94043-1636
Phone
(650) 447-4423
NPI assigned
Oct 3, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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 PA9107558 FL Primary

Addresses

Primary practice location

2525 Charleston Rd Ste 104
Mountain View, CA 94043-1636

Mailing address

5050 Pierre St Unit B
Boulder, CO 80304-4444
Phone (650) 447-4423

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
I20140219000063 FL Practitioner - Physician Assistant 9032348982 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9107558FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Physician Assistant CurrentSince Jan 7, 2019 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jan 7, 2019 Accepting new patients

Locations

410 Celebration Pl
Ste 103
Kissimmee, FL 34747
Phone (407) 303-4655

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

Interoperability endpoints

  • Direct secure messaging: bethany.markman@552337174953988.direct.elationemr.com
  • Direct secure messaging: bethany.lehman@wpim.directbygreenway.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1487081550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 PIERRE ST UNIT B",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803044444",
            "telephone_number": "650-447-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 CHARLESTON RD STE 104",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940431636",
            "telephone_number": "650-447-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKMAN",
        "first_name": "BETHANY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-03",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9107558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.