Editha Angelita Pangan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME-0070022 Issued in FL

Practice address

1397 Medical Park Blvd
Suite 300
Wellington, FL 33414-3186

Phone

(561) 798-4900

Fax

(561) 798-0722

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trilogy Home Healthcare Home health agency, West Palm Beach, FL, CCN 107714
• HCA Florida Palms West Hospital Hospital, Loxahatchee, FL, CCN 100269
• Wellington Regional Medical Center Hospital, Wellington, FL, CCN 100275
• Good Samaritan Medical Center Hospital, West Palm Beach, FL, CCN 100287

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GDIBCD/Endpoint/GDIBCD

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.

• Wellington Primary Care LLC

  • Internal Medicine Physician
  • Loxahatchee, FL
  • NPI 1922625060
  Medicare reassignment NPD Authorized official
• Doctors Outpatient Surgery Center of Jupiter, LLC

  • Ambulatory Surgical Clinic/Center
  • Palm Beach Gardens, FL
  • NPI 1043303894
  NPD (past)
• Gordon Grenn D.O., P.a.

  • Family Medicine Physician
  • Lake Worth, FL
  • NPI 1326348681
  NPD (past)
• Medical Specialists of the Palm Beaches Inc

  • Internal Medicine Physician
  • Boynton Beach, FL
  • NPI 1740343615
  NPD (past)

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

• Good Samaritan Medical Center, Inc.

  • General Acute Care Hospital
  • West Palm Beach, FL
  • NPI 1770515991
  Care Compare affiliation
• Medstar Home Health, LLC

  • Home Health Agency
  • West Palm Beach, FL
  • NPI 1538598081
  Care Compare affiliation
• Palms West Hospital Limited Partnership

  • General Acute Care Hospital
  • Loxahatchee, FL
  • NPI 1528014669
  Care Compare affiliation
• Wellington Regional Medical Center LLC

  • General Acute Care Hospital
  • Wellington, FL
  • NPI 1720078702
  Care Compare affiliation

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265673600000",
    "number": "1720165749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1397 MEDICAL PARK BLVD",
            "address_2": "SUITE 300",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143186",
            "telephone_number": "561-798-4900",
            "fax_number": "561-798-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397 MEDICAL PARK BLVD",
            "address_2": "SUITE 300",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143186",
            "telephone_number": "561-798-4900",
            "fax_number": "561-798-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANGAN",
        "first_name": "EDITHA",
        "middle_name": "ANGELITA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME-0070022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palm Beach Therapy & Fitness Providers, Inc.
• Palm Beach Therapy and Health LLC
• Palm Orthopedic Joint &Spine Institute
• Kirsten Pancione, NP
• Heli Pandini, LMHC
• Nikolaus Wim Pankow, M.D.
• Stephanie Pantoja, ARNP
• Wendy Papalcure, SOCIAL WORKER
• Cassandra D Parfait
• Maureen Parkes, ARNP

• Internal Medicine Physician in Wellington, FL
• Providers in Wellington, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; 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.