Active NPI
Elsa Daniella Philippe, PA-C
- Medical Physician Assistant
- Miramar, FL
National Provider Identifier
1720234206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9104326
- Practice address
- 6200 Pembroke Rd
Miramar, FL 33023-2216 - Phone
- (954) 961-7100
- NPI assigned
- Aug 15, 2008
- Last updated
- Mar 28, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9104326 | FL | Primary |
Addresses
Primary practice location
6200 Pembroke Rd
Miramar, FL 33023-2216
Mailing address
6200 Pembroke Rd
Miramar, FL 33023-2216
Phone (954) 961-7100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9104326 | FL | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459123200000",
"number": "1720234206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6200 PEMBROKE RD",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330232216",
"telephone_number": "954-961-7100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 PEMBROKE RD",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330232216",
"telephone_number": "954-961-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILIPPE",
"first_name": "ELSA",
"middle_name": "DANIELLA",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-15",
"last_updated": "2016-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9104326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.