Individual provider Active NPI

Jason Paul Parson, P.A.

  • Surgical Physician Assistant
  • Plantation, FL
National Provider Identifier
1770759490
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9102964 Issued in FL
Practice address
350 NW 84TH Ave Ste 300
Plantation, FL 33324-1859
Phone
(954) 475-9535
Fax
(954) 475-4637
NPI assigned
May 2, 2008
Last updated
May 2, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA9102964 FL Primary

Addresses

Primary practice location

350 NW 84TH Ave Ste 300
Plantation, FL 33324-1859

Mailing address

350 NW 84TH Ave Ste 300
Plantation, FL 33324-1859
Phone (954) 475-9535

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

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1770759490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NW 84TH AVE STE 300",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241859",
            "telephone_number": "954-475-9535",
            "fax_number": "954-475-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NW 84TH AVE STE 300",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241859",
            "telephone_number": "954-475-9535",
            "fax_number": "954-475-4637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSON",
        "first_name": "JASON",
        "middle_name": "PAUL",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-02",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9102964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.