Randall Okolichany, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9113556 Issued in FL

Practice address

733 US 1
North Palm Beach, FL 33408-4513

Phone

(561) 840-1090

NPI assigned

Jul 1, 2014

Last updated

May 14, 2021By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Florida Orthopaedics and Sports Medicine, PAGroup PAC ID 6406838895, 70 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Lawnwood Hospital Hospital, Fort Pierce, FL, CCN 100246
• Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044
• St Lucie Medical Center Hospital, Port Saint Lucie, FL, CCN 100260

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: randall.okolichany@hca4.eclinicaldirectplus.com
• Direct secure messaging: rokolichany20527@jupitermedicalcenter.direct-ci.com

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.

• South Florida Orthopaedics & Sports Medicine, PA

  • Orthopaedic Surgery Physician
  • Stuart, FL
  • NPI 1841253374
  Medicare reassignment Care Compare group
• Orthopaedic Care Specialist PL

  • Specialist
  • North Palm Beach, FL
  • NPI 1780646950
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HCA Health Services of Florida, Inc.

  dba HCA Florida St. Lucie Hospital

  • General Acute Care Hospital
  • Port St Lucie, FL
  • NPI 1538115696
  Care Compare affiliation
• Lawnwood Medical Center Inc

  dba HCA Florida Lawnwood Hospital

  • General Acute Care Hospital
  • Fort Pierce, FL
  • NPI 1568409647
  Care Compare affiliation
• Martin Memorial Medical Center Inc

  dba Cleveland Clinic Martin North, South, Tradition Hospitals

  • General Acute Care Hospital
  • Stuart, FL
  • NPI 1194790055
  Care Compare affiliation

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1649686486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1372 SW KNOLLWOOD DR",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349901919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 US 1",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334084513",
            "telephone_number": "561-840-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKOLICHANY",
        "first_name": "RANDALL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-01",
        "last_updated": "2021-05-14",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9113556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "38350",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffry Raul Nurenberg, M.D.
• Nurseneed Concierge Home Care, LLC
• Nuyu Counseling Center
• Jacqueline O'Meara, AP
• Ocean Acupuncture of North Palm Beach
• Orthopaedic Care Specialist PL
• Orthoworks Inc
• Mark Ralph Ortmann, MS, PT, OCS
• Palm Beach Gardens Recovery LLC
• Palm Beach Ketamine Therapy LLC (Palm Beach Ketamine Therapy)

• Medical Physician Assistant in North Palm Beach, FL
• Providers in North Palm Beach, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.