Troy Erik Elmstrom, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9101486 Issued in FL

Practice address

3702 Washington St
Suite 403
Hollywood, FL 33021-8282

Phone

(954) 967-6550

Fax

(954) 967-8419

NPI assigned

Sep 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Inphynet South Broward LLC

  • Emergency Medicine Physician
  • Hollywood, FL
  • NPI 1871521880

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242864000000",
    "number": "1518153840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9102 LAKE PARK CIR S",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333287009",
            "telephone_number": "954-825-1497",
            "fax_number": "954-967-8419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 WASHINGTON ST",
            "address_2": "SUITE 403",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218282",
            "telephone_number": "954-967-6550",
            "fax_number": "954-967-8419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMSTROM",
        "first_name": "TROY",
        "middle_name": "ERIK",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-20",
        "last_updated": "2009-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Ppec Transport LLC
• Elitecare IV Therapy & Wellness LLC
• Lior Uriel Elkayam, M.D.
• Christina Elkind, PSY D
• Olivia Elmann, PSYD
• Adel Eltantawy, PHARM.D, BCOP
• Leslie Elvir
• Embolden, LLC
• Embracing Recovery Comprehensive Counseling Center Inc
• Emc Services of Florida LLC

• Physician Assistant in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.