Active NPI
Susan R Compton, MCMSC, PA-C
- Physician Assistant
- Miami, FL
National Provider Identifier
1487778338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9104062
- Practice address
- 5200 NE 2ND Avenue
Miami, FL 33137 - Phone
- (305) 751-8626
- Fax
- (305) 534-3974
- NPI assigned
- Mar 18, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9104062 | FL | Primary |
Addresses
Primary practice location
5200 NE 2ND Avenue
Miami, FL 33137
Mailing address
5200 NE 2ND Avenue
Miami, FL 33137
Phone (305) 751-8626
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 1, 2019 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lauderdale Health and Wellness Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- Fort Lauderdale, FL
- NPI 1255573879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267056000000",
"number": "1487778338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 NE 2ND AVENUE",
"city": "MIAMI",
"state": "FL",
"postal_code": "33137",
"telephone_number": "305-751-8626",
"fax_number": "305-534-3974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 NE 2ND AVENUE",
"city": "MIAMI",
"state": "FL",
"postal_code": "33137",
"telephone_number": "305-751-8626",
"fax_number": "305-534-3974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMPTON",
"first_name": "SUSAN",
"middle_name": "R",
"credential": "MCMSC, PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-18",
"last_updated": "2010-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9104062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.