Organization Active NPI

Medsurg Care, LLC

  • Physician Assistant
  • Deerfield Beach, FL
National Provider Identifier
1700637527
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
MEDSURG CARE, LLC
Practice address
455 Deer Creek Lake Point South LN
Deerfield Beach, FL 33442-8462
Phone
(954) 303-1331
NPI assigned
Mar 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Authorized official

Name
Jolene M. Piazza, PA-CNPI 1053381459
Title
Owner/Ceo
Phone
(954) 303-1331

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
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

455 Deer Creek Lake Point South LN
Deerfield Beach, FL 33442-8462

Mailing address

455 Deer Creek Lake Point South LN
Deerfield Beach, FL 33442-8462
Phone (954) 303-1331

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240627003972 FL Part B Supplier - Clinic/Group Practice 0244774503 Receives reassigned benefits from 1 practitioner
Practice locations: Deerfield Beach, 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": "1711670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1700637527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 DEER CREEK LAKE POINT SOUTH LN",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334428462",
            "telephone_number": "954-303-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 DEER CREEK LAKE POINT SOUTH LN",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334428462",
            "telephone_number": "954-303-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSURG CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "PIAZZA",
        "authorized_official_first_name": "JOLENE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "954-303-1331",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.