Organization Active NPI

PA Plus Surgical Services,PLLC

  • Surgical Physician Assistant
  • Hallandale Beach, FL
National Provider Identifier
1699338418
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
PA PLUS SURGICAL SERVICES,PLLC
Practice address
815 NE 27TH Ave
Hallandale Beach, FL 33009-2945
Phone
(954) 699-5161
NPI assigned
Apr 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Authorized official

Name
Mrs. Yana Dodea, PANPI 1457658023
Title
Manager
Phone
(954) 699-5161

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 AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

815 NE 27TH Ave
Hallandale Beach, FL 33009-2945

Mailing address

815 NE 27TH Ave
Hallandale Beach, FL 33009-2945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220324001691 FL Part B Supplier - Clinic/Group Practice 5698160828 Receives reassigned benefits from 1 practitioner
Practice locations: Pembroke Pines, FL; Plantation, FL; Weston, FL

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.

NPI Registry JSON

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1699338418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 NE 27TH AVE",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 NE 27TH AVE",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092945",
            "telephone_number": "954-699-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PA PLUS SURGICAL SERVICES,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-17",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "DODEA",
        "authorized_official_first_name": "YANA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-699-5161",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.