Individual provider Active NPI

Sylvia Elena Fernandez, PA-C

  • Medical Physician Assistant
  • Plantation, FL
National Provider Identifier
1669618260
Registry record updated Jan 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9103169 Issued in FL
Practice address
350 N Pine Island Rd
Suite 301
Plantation, FL 33324-1849
Phone
(954) 475-4000
NPI assigned
Jan 2, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9103169 FL Primary

Addresses

Primary practice location

350 N Pine Island Rd
Suite 301
Plantation, FL 33324-1849

Mailing address

350 N Pine Island Rd
Suite 301
Plantation, FL 33324-1849
Phone (954) 475-4000

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200220002444 FL Practitioner - Physician Assistant 2264869890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associatesmd Medical Group IncGroup PAC ID 6507294311, 38 clinicians

Practice addresses (Care Compare)

4780 Davie Rd
Davie, FL 33314-4400

4780 SW 64TH Ave
Suite 101
Davie, FL 33314-4400
Phone (954) 434-1705

600 S Pine Island Rd
Suite 104
Plantation, FL 33324-3178
Phone (954) 474-4401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: sylvia.fernandez@amd.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230854400000",
    "number": "1669618260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N PINE ISLAND RD",
            "address_2": "SUITE 301",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241849",
            "telephone_number": "954-475-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N PINE ISLAND RD",
            "address_2": "SUITE 301",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241849",
            "telephone_number": "954-475-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "SYLVIA",
        "middle_name": "ELENA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-02",
        "last_updated": "2009-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9103169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.