Organization Active NPI

Physician Assistant Services Inc

Doing business as Citra Family Health

  • Rural Health Clinic/Center
  • Citra, FL
National Provider Identifier
1881800936
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
PA2401 Issued in FL
Legal business name
PHYSICIAN ASSISTANT SERVICES INC
Doing business as
Citra Family Health
Practice address
17805 N US Highway 301
Citra, FL 32113-2459
Phone
(352) 595-7777
Fax
(352) 595-4047
NPI assigned
May 15, 2007
Last updated
May 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2015

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

Authorized official

Name
Mrs. Lisa Molinski
Title
Vice President
Phone
(352) 595-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X PA2401 FL Primary

Addresses

Primary practice location

17805 N US Highway 301
Citra, FL 32113-2459

Mailing address

5939 SE 22ND Ave
Ocala, FL 34480-6127
Phone (352) 622-3025

Other identifiers 1

IdentifierTypeStateIssuer
S58197OtherFLUPIN

Other names 1

  • Citra Family Health Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1881800936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5939 SE 22ND AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344806127",
            "telephone_number": "352-622-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17805 N US HIGHWAY 301",
            "city": "CITRA",
            "state": "FL",
            "postal_code": "321132459",
            "telephone_number": "352-595-7777",
            "fax_number": "352-595-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN ASSISTANT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "MOLINSKI",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "352-595-7777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "FL",
            "license": "PA2401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "S58197",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Citra Family Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Citra, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.