Active NPI
Alex Larios Salinas
- Surgical Physician Assistant
- Lakeland, FL
National Provider Identifier
1487244513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA9117490
- Practice address
- 5050 S Florida Ave
Lakeland, FL 33813-2501 - Phone
- (863) 688-3030
- NPI assigned
- Jan 22, 2021
- Last updated
- Jul 24, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA9117490 | FL | Primary |
Addresses
Primary practice location
5050 S Florida Ave
Lakeland, FL 33813-2501
Mailing address
3730 Cat Mint St
Tampa, FL 33619-6937
Phone (941) 661-6445
Other practice location 1
3730 Cat Mint St
Tampa, FL 33619-6937
Phone (941) 661-6445
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9117490 | FL | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chukwuka C Okafor, MD, Mba, PA | Current | Accepting new patients | |
| Ospine, LLC | Past | Accepting new patients |
Locations
5050 S Florida Ave
Lakeland, FL 33813
Phone (863) 644-1313
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.
-
dba Spine Institiure of Central Florida
- Orthopaedic Surgery of the Spine Physician
- Lakeland, FL
- NPI 1962714071
-
dba Ospine Surgical Center
- Ambulatory Surgical Clinic/Center
- Lakeland, FL
- NPI 1811573017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690156800000",
"number": "1487244513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3730 CAT MINT ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336196937",
"telephone_number": "941-661-6445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 S FLORIDA AVE",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338132501",
"telephone_number": "863-688-3030"
}
],
"practiceLocations": [
{
"address_1": "3730 Cat Mint St",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336196937",
"country_code": "US",
"telephone_number": "941-661-6445",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALINAS",
"first_name": "ALEX",
"middle_name": "LARIOS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-22",
"last_updated": "2023-07-24",
"certification_date": "2023-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA9117490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
- Janice Salcedo, MSN, APRN, FNP-BC
- Tito C. Saldana, MD
- Brandon Saldoriga
- Anielys Salgado, APRN
- Savannah Slaughter Salgado, BSN, RNC-NIC, C-ELBW
- Katherine A. Salisbury, ARNP
- Edward M Salkind, CRNA
- Damaris Salmeron
- Saltzman, Tanis, Pittell, Levin and Jacobson, LLC (Pediatric Associates)
- Saltzman, Tanis, Pittell, Levin and Jacobson, LLC (Pediatric Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.