Sue Ellen Rowe, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA001202L Issued in PA

Practice address

11373 Cortez Blvd Ste 202
Brooksville, FL 34613-5405

Phone

(352) 597-3444

Fax

(352) 597-0117

NPI assigned

Sep 20, 2006

Last updated

Jun 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lyle Breeding MD PLC

  • Surgery Physician
  • Brooksville, FL
  • NPI 1518113893
  Medicare reassignment

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1881792976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11373 CORTEZ BLVD STE 202",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135405",
            "telephone_number": "352-597-3444",
            "fax_number": "352-597-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11373 CORTEZ BLVD STE 202",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135405",
            "telephone_number": "352-597-3444",
            "fax_number": "352-597-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWE",
        "first_name": "SUE",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA001202L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEATH NOW",
            "identifier": "000927001002",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wilson Emmanuel Roman, PA-C
• Nick Rosales, CSFA
• Khadijah Victoria Rose, B.A SLPA
• Robert Martin Roth
• Maria Beija Rovira-Remus, MD
• Rita Rae Rudny, LMHC
• Melisa Russell, B.S.W
• John Douglas Ryan
• Shereen Ismail Saba, MD
• Umair Saeed, MD

• Medical Physician Assistant in Brooksville, FL
• Providers in Brooksville, 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 Jun 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.