Organization Active NPI

Inverrary Medical Center, PA

  • Medical Physician Assistant
  • Lauderhill, FL
National Provider Identifier
1801059712
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9103654 Issued in FL
Legal business name
INVERRARY MEDICAL CENTER, PA
Practice address
4500 Inverrary Blvd
Lauderhill, FL 33319-4104
Phone
(954) 748-2977
NPI assigned
Jul 10, 2008
Last updated
Jul 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Miss Donna Annmarie Williams, MMS., PA-CNPI 1902990146
Title
Physician Assistant
Phone
(954) 748-2977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9103654 FL Primary

Addresses

Primary practice location

4500 Inverrary Blvd
Lauderhill, FL 33319-4104

Mailing address

4500 Inverrary Blvd
Lauderhill, FL 33319-4104
Phone (954) 748-2977

National Provider Directory

National Provider Directory

Locations

3161 Inverrary Blvd W
Lauderhill, FL 33319
Phone (954) 748-2977

4500 Inverrary Blvd
Lauderhill, FL 33319
Phone (954) 748-2977

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1801059712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 INVERRARY BLVD",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333194104",
            "telephone_number": "954-748-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 INVERRARY BLVD",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333194104",
            "telephone_number": "954-748-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INVERRARY MEDICAL CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "ANNMARIE",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "954-748-2977",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MMS., PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9103654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.