Physician Extenders Services Naples, Inc.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9101963 Issued in FL

Legal business name

PHYSICIAN EXTENDERS SERVICES NAPLES, INC.

Doing business as

The Extenders Group

Practice address

1001 N Federal Hwy
Suite 355
Hallandale Beach, FL 33009-2400

Phone

(954) 455-5833

Fax

(866) 902-8817

NPI assigned

Jun 24, 2011

Last updated

Jun 24, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Rick Yarosh, PA

Title

President

Phone

(954) 455-5833

Specialties & licenses 1

Addresses

Other names 1

• The Extenders Group Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pedro L Acosta, PA-C

  • Surgical Physician Assistant
  • Hallandale Beach, FL
  • NPI 1114278538
  NPD (past)

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308873600000",
    "number": "1720374077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N FEDERAL HWY",
            "address_2": "SUITE 355",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092400",
            "telephone_number": "954-455-5833",
            "fax_number": "866-902-8817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N FEDERAL HWY",
            "address_2": "SUITE 355",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092400",
            "telephone_number": "954-455-5833",
            "fax_number": "866-902-8817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN EXTENDERS SERVICES NAPLES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-24",
        "last_updated": "2011-06-24",
        "status": "A",
        "authorized_official_last_name": "YAROSH",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-455-5833",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Extenders Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pharmco, LLC (Pharmco)
• Pharmco, LLC
• Pharmco, LLC (PharmcoRx LTC)
• Pharmcore Inc (Hallandale Pharmacy)
• Philip R Gould, M.D.
• Physician Extenders Services, Inc.
• Jack A Pines, MD
• Patricia Soledad Piriz, RMHCI
• Plague Doctors (Snatched FL LLC)
• Caroline Plyas

• Physician Assistant in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.