Active NPI
PA Plus Surgical Services,PLLC
- Surgical Physician Assistant
- Hallandale Beach, FL
National Provider Identifier
1699338418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Yana Dodea, PA
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Hallandale Beach, FL
- NPI 1457658023
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.