Individual provider Active NPI

Dayne A Kattana, P.A.

  • Physician Assistant
  • Hollywood, FL
National Provider Identifier
1871538272
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9103294 Issued in FL
Practice address
6740 Pershing St
Hollywood, FL 33024-1834
Phone
(954) 918-0467
NPI assigned
Jun 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9103294 FL Primary
Specialist 174400000X PA9103294 FL

Addresses

Primary practice location

6740 Pershing St
Hollywood, FL 33024-1834

Mailing address

6740 Pershing St
Hollywood, FL 33024-1834

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
I20060105000662 FL Practitioner - Physician Assistant 4183647159 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9103294FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
AIDS Healthcare Foundation CurrentSince Nov 18, 2022 Accepting new patients

Locations

8390 Champions Gate Blvd
Ste 220
Champions Gate, FL 33896
Phone (407) 479-2015

6333 N Federal Hwy
Ste 301302
Ft Lauderdale, FL 33308
Phone (954) 772-2411

2400 Biscayne Blvd
Miami, FL 33137
Phone (305) 764-3780

100 NW 170th St
Ste 208
North Miami Beach, FL 33169
Phone (305) 405-0045

3135 State Road 580
Ste 1
Safety Harbor, FL 34695
Phone (727) 259-2000

2097 Wilton Dr
Wilton Manors, FL 33305
Phone (877) 259-8727

Interoperability endpoints

  • Direct secure messaging: dayne.kattana.1@26356.direct.athenahealth.com

Organizations & group practices 2

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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1871538272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6740 PERSHING ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330241834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6740 PERSHING ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330241834",
            "telephone_number": "954-918-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATTANA",
        "first_name": "DAYNE",
        "middle_name": "A",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9103294",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "PA9103294",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.