NPIMap

Organization Active NPI

Physician Assistant Surgical Services, Inc.

  • Surgical Physician Assistant
  • Port Saint Lucie, FL
National Provider Identifier
1629001011
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA3266 Issued in FL
Legal business name
PHYSICIAN ASSISTANT SURGICAL SERVICES, INC.
Practice address
3002 SE Bur St
Port Saint Lucie, FL 34952-5855
Phone
(772) 337-4243
NPI assigned
Jul 8, 2006
Last updated
Nov 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Authorized official

Name
Richard Joseph Palmeri, PA-CNPI 1891757126
Title
President
Phone
(772) 337-4243

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA3266 FL Primary

Addresses

Primary practice location

3002 SE Bur St
Port Saint Lucie, FL 34952-5855

Mailing address

3002 SE Bur St
Port Saint Lucie, FL 34952-5855
Phone (772) 337-4243

Other identifiers 2

IdentifierTypeStateIssuer
X1624OtherBCBS
DF7491OtherFLRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1629001011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 SE BUR ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349525855",
            "telephone_number": "772-337-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 SE BUR ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349525855",
            "telephone_number": "772-337-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN ASSISTANT SURGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "PALMERI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-337-4243",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA3266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "X1624",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF7491",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.