Individual provider Active NPI

Alexandra Leigh Shigo, PA-C

  • Physician Assistant
  • Orlando, FL
National Provider Identifier
1780732867
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9102905 Issued in FL
Practice address
801 N Orange Ave
520
Orlando, FL 32801-1026
Phone
(407) 992-0660
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9102905 FL Primary

Addresses

Primary practice location

801 N Orange Ave
520
Orlando, FL 32801-1026

Mailing address

801 N Orange Ave
520
Orlando, FL 32801-1026
Phone (407) 992-0660

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071103000016 FL Practitioner - Physician Assistant 2567559883 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

1035 Primera Blvd
Suite 1041
Lake Mary, FL 32746-2193
Phone (407) 992-0660

530 Fontaine St
Pensacola, FL 32503-2019
Phone (800) 243-7546

801 N Orange Ave
Suite 520
Orlando, FL 32801-5202
Phone (407) 992-0660

Merit-based Incentive Payment System (MIPS)

Final score
86.64 of 100Reported as group
Quality
73.28
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9102905FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Dec 10, 2024 Accepting new patients
Forefront Dermatology, S.C. CurrentSince Dec 10, 2024 Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients

Locations

1035 Primera Blvd
Ste 1041
Lake Mary, FL 32746
Phone (407) 992-0660

3200 N Wickham Rd
Ste 5
Melbourne, FL 32935
Phone (407) 992-0660

801 N Orange Ave
Ste 520
Orlando, FL 32801
Phone (407) 992-0660

2202 State Ave
Ste 102
Panama City, FL 32405
Phone (850) 250-5790

540 Fontaine St
Pensacola, FL 32503
Phone (800) 243-7546

1901 Lee Rd
Winter Park, FL 32789
Phone (407) 647-7300

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: alexandra.shigo@forefrontdermatology.emadirect.md

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1780732867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N ORANGE AVE",
            "address_2": "520",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328011026",
            "telephone_number": "407-992-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N ORANGE AVE",
            "address_2": "520",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328011026",
            "telephone_number": "407-992-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIGO",
        "first_name": "ALEXANDRA",
        "middle_name": "LEIGH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.