Sports Medicine Associates of South Florida, P.a.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

SPORTS MEDICINE ASSOCIATES OF SOUTH FLORIDA, P.A.

Practice address

220 SW 84TH Ave Ste 102
Plantation, FL 33324-2729

Phone

(954) 720-1530

Fax

(954) 720-6540

NPI assigned

Jan 26, 2006

Last updated

Sep 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chrystal A. Herrera

Title

Credentialing Coordinator

Phone

(305) 218-6965

Specialties & licenses 5

Addresses

Other identifiers 10

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Locations

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexander Javier Bertot, M.D.

  • Orthopaedic Surgery Physician
  • Plantation, FL
  • NPI 1760452007
  Medicare reassignment Care Compare group NPD
• Alfred Alexander Desimone, M.D.

  • Orthopaedic Surgery Physician
  • Weston, FL
  • NPI 1851361299
  Medicare reassignment Care Compare group NPD
• Pedro Abraham Ricart Hoffiz, MD

  • Orthopaedic Surgery Physician
  • Plantation, FL
  • NPI 1962830042

  Single Specialty

  Medicare reassignment Care Compare group NPD
• David Shenassa, M.D.

  • Surgery of the Hand (Surgery) Physician
  • Plantation, FL
  • NPI 1417108895

  Hand Surgery

  Medicare reassignment Care Compare group NPD
• Sydnee Royce Brin, PA-C

  • Physician Assistant
  • Plantation, FL
  • NPI 1922486273
  Medicare reassignment Care Compare group
• Jesse Tyler Crosno, PA

  • Physician Assistant
  • Plantation, FL
  • NPI 1285222315
  Medicare reassignment Care Compare group
• Hanna Elisabeth Hemmati, PA

  • Physician Assistant
  • Plantation, FL
  • NPI 1558022426
  Medicare reassignment Care Compare group
• Eric Donald Bronson, PA-C

  • Physician Assistant
  • Weston, FL
  • NPI 1568436400
  Medicare reassignment
• Paul Robert Buchanan, PA-C

  • Physician Assistant
  • Weston, FL
  • NPI 1194796839
  Medicare reassignment
• Carlo Anthony Messina, DPM

  • Foot & Ankle Surgery Podiatrist
  • Elmwood Park, IL
  • NPI 1790977171
  NPD
• Robertson Auguste, PT,DPT

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Plantation, FL
  • NPI 1114451655
  NPD (past)
• Iliya Beylin, D.P.M.

  • Podiatrist
  • Coral Springs, FL
  • NPI 1104803618
  NPD (past)

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1487624771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SW 84TH AVE STE 102",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242729",
            "telephone_number": "954-349-2345",
            "fax_number": "954-641-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SW 84TH AVE STE 102",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242729",
            "telephone_number": "954-720-1530",
            "fax_number": "954-720-6540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Town Center Cir Ste C",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333263641",
            "country_code": "US",
            "telephone_number": "954-389-5900",
            "fax_number": "954-389-5751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPORTS MEDICINE ASSOCIATES OF SOUTH FLORIDA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "CHRYSTAL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "305-218-6965"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID - PEDRO A. RICART HOFFIZ, M.D.",
            "identifier": "119205700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID - ALEXANDER J. BERTOT, M.D.",
            "identifier": "002398700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002876700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID - SYDNEE R. BRIN, PA-C",
            "identifier": "108857600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID - JESSE T. CROSNO, PA-C",
            "identifier": "118651300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID - ERIC D. BRONSON, PA-C",
            "identifier": "002602400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID - ALFRED A. DESIMONE, M.D.",
            "identifier": "002615000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID - HANNA E. HEMMATI, PA-C",
            "identifier": "1558022426",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID - DAVID SHENASSA, M.D.",
            "identifier": "002462700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID - PAUL R. BUCHANAN, PA-C",
            "identifier": "002603000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spinner and Chussid D P M P a
• Steven Michael Spinner, D.P.M.
• Spiritual Connection Outreach Community Center of South Florida
• Spiritual Connection Outreach Community Center of South Florida
• Sportpharm,Inc. (Sportpharm)
• Leslie Sue Sprague, RPT
• Springs Dental of Plantation
• Spruce Pine Emergency Physicians PLLC
• Geena Marie Squartino, OTR/L
• Monika Srivastava, D.M.D.

• Orthopaedic Surgery Physician in Plantation, FL
• Providers in Plantation, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.