Med-Surg Pas Inc

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9100944 Issued in FL

Legal business name

MED-SURG PAS INC

Doing business as

Wimauma Family Health Center

Practice address

5121 State Road 674
Wimauma, FL 33598-3515

Phone

(813) 633-8489

Fax

(813) 633-2669

NPI assigned

Feb 21, 2007

Last updated

Oct 13, 2008By 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. Scott Allen French, PACNPI 1164421186

Title

President Owner

Phone

(813) 633-8489

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Wimauma Family Health Center 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.

• Scott Allen French, PA-C

  • Medical Physician Assistant
  • Wimauma, FL
  • NPI 1164421186
  Authorized official Same address or phone

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223856000000",
    "number": "1801931399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5121 STATE ROAD 674",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335983515",
            "telephone_number": "813-633-8489",
            "fax_number": "813-633-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 STATE ROAD 674",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335983515",
            "telephone_number": "813-633-8489",
            "fax_number": "813-633-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-SURG PAS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-10-13",
        "status": "A",
        "authorized_official_last_name": "FRENCH",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT  OWNER",
        "authorized_official_telephone_number": "813-633-8489",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PAC"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9100944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "660052201",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "660052200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wimauma Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Medical Physician Assistant in Wimauma, FL
• Providers in Wimauma, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.