Mary Ann Kogan

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9112615 Issued in FL

Practice address

621 NW 53Rd St Ste 330
Boca Raton, FL 33487-8281

Phone

(800) 488-0279

NPI assigned

Sep 27, 2019

Last updated

Sep 27, 2019By the provider in NPPES

Sex

Female

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Specialtycare Surgical Assist, LLCGroup PAC ID 3274446497, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Aventura Hospital Hospital, Aventura, FL, CCN 100131

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Specialtycare Surgical Assist, LLC

  • Surgical Physician Assistant
  • Boynton Beach, FL
  • NPI 1740395748
  Medicare reassignment Care Compare group
• Prohealth Select, Inc.

  • Nurse Practitioner
  • Boca Raton, FL
  • NPI 1417485053

  Physician Assistant

  NPD
• Health Consulting Associates LLC

  dba Full Orthopedics Orthopedic Urgent Care

  • Urgent Care Clinic/Center
  • North Miami Beach, FL
  • NPI 1194112219
  NPD (past)

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

• Miami Beach Healthcare Group, LTD.

  dba HCA Florida Aventura Hospital

  • General Acute Care Hospital
  • Aventura, FL
  • NPI 1407801673
  Care Compare affiliation

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1679124861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20301 NE 30TH AVE APT 212",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801572",
            "telephone_number": "786-280-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 NW 53RD ST STE 330",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334878281",
            "telephone_number": "800-488-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOGAN",
        "first_name": "MARY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9112615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE NUMBER",
            "identifier": "9112615",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stuart A Knott, M.D
• Ayanna Knowles
• Daniel James Koch, AA-C
• Karen Eve Koenig, DPT
• Heather Jill Koerner, AP
• Silvi Kohen-Schneider, MS, CCC/SLP
• Douglas A Kohl, M.D.
• Nancy Ruth Koiles, MPT
• Camryn Kol
• Valerie Frances Kolbert, APRN

• Physician Assistant in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.