Organization Active NPI

TMS Surgical PLLC

  • Surgical Physician Assistant
  • Parkland, FL
National Provider Identifier
1891104725
Registry record updated Sep 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9107748 Issued in FL
Legal business name
TMS SURGICAL PLLC
Practice address
10345 NW 63Rd Dr
Parkland, FL 33076-2352
Phone
(754) 264-2407
NPI assigned
Aug 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2016

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

Authorized official

Name
Tiffany A Morello, PA-CNPI 1366864985
Title
Physician Assistant
Phone
(754) 264-2407

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X ME39636 FL
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X PA9107748 FL Primary

Addresses

Primary practice location

10345 NW 63Rd Dr
Parkland, FL 33076-2352

Mailing address

10345 NW 63Rd Dr
Parkland, FL 33076-2352
Phone (754) 264-2407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150420001420 FL Part B Supplier - Clinic/Group Practice 6507184785 Receives reassigned benefits from 1 practitioner
Practice locations: Boca Raton, FL; Coral Springs, FL; Ft. Lauderdale, FL; Margate, FL; Parkland, FL; Tamarac, FL

National Provider Directory

National Provider Directory

Locations

5000 W Oakland Park Blvd
#B
Lauderdale Lakes, FL 33313

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474156800000",
    "number": "1891104725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10345 NW 63RD DR",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330762352",
            "telephone_number": "754-264-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10345 NW 63RD DR",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330762352",
            "telephone_number": "754-264-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMS SURGICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-05",
        "last_updated": "2016-09-18",
        "status": "A",
        "authorized_official_last_name": "MORELLO",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "754-264-2407",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME39636",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9107748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.