Agda L Hart, P.A

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9103822 Issued in FL

Practice address

1731 SW 2ND Ave
Ocala, FL 34471-8179

Phone

(352) 369-0322

Fax

(352) 369-0325

NPI assigned

Sep 21, 2009

Sex

Female

Sole proprietor

Yes

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

Enrolled in FL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Physician Providers Group PA

  • Specialist
  • Inverness, FL
  • NPI 1720073216
  Medicare reassignment
• Physician Providers Group PA

  • Specialist
  • Ocala, FL
  • NPI 1396200283
  NPD (past)
• Robert Ulseth LLC

  • Specialist
  • Inverness, FL
  • NPI 1891744694
  NPD (past)

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342051200000",
    "number": "1598099723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 BUENOS AIRES BLVD",
            "address_2": "SUITE 150",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321596821",
            "telephone_number": "352-750-5882",
            "fax_number": "888-770-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 SW 2ND AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344718179",
            "telephone_number": "352-369-0322",
            "fax_number": "352-369-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "AGDA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "P.A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-21",
        "last_updated": "2012-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9103822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zenia Harris, LCSW
• Beth Harrison, LCSW
• Latiera Harrison
• Lawrence R. Harrison, MD
• Rose Marie Harrison
• Kimberly Elizabeth Hart, LMHC
• Krestana Kay Hart, ARNP
• Sarah R Hart, LMHC
• Thomas William Harter, DMD
• Kaycie Louise Hartley, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.

Verify at the official NPI Registry.