Alisa K Romero, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9105863 Issued in FL

Practice address

12700 Creekside Lane
Suite 101
Fort Myers, FL 33919-3356

Phone

(239) 432-0774

Fax

(239) 432-9404

NPI assigned

Feb 1, 2011

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 2

Other names 1

• Alisa Santiago Former name

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alisa.romero@398008301912068.direct.elationemr.com
• Direct secure messaging: alisa.romero.1@7278.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/7278/brand/1/csg/1/fhir/r4

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.

• Celebration Orthopedic and Sports Medicine Institute Inc

  • Orthopaedic Surgery Physician
  • Celebration, FL
  • NPI 1558438036
  Medicare reassignment NPD
• East Lake Medical Clinic

  • Primary Care Clinic/Center
  • Saint Cloud, FL
  • NPI 1790124741
  Medicare reassignment NPD
• Chukwuka C Okafor, MD, Mba, PA

  • Orthopaedic Surgery of the Spine Physician
  • Lakeland, FL
  • NPI 1962714071
  Medicare reassignment
• Celebration Orthopedic and Sports Medicine Institute Inc

  • Orthopaedic Surgery Physician
  • Orlando, FL
  • NPI 1659254456
  NPD

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1902102445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 CREEKSIDE LANE",
            "address_2": "SUITE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193356",
            "telephone_number": "239-432-0774",
            "fax_number": "239-432-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 CREEKSIDE LANE",
            "address_2": "SUITE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193356",
            "telephone_number": "239-432-0774",
            "fax_number": "239-432-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "ALISA",
        "middle_name": "K",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-01",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9105863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y06NS",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003261200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISA",
            "last_name": "SANTIAGO",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cynthia L Romeis, ARNP
• Richard Romeis, P.T.
• David Ernesto Romero Torralbas, BA
• Raquel Leonora Romero-Guilamo, M.D.
• Sarah K Romero-Rodriguez, PHD
• Andy Romero
• Christian L Romero, PSY.D.
• Lisbet Romero, ARNP
• Silvia A. Romero, M.D.
• Daphnie Romulus

• Surgical Physician Assistant in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.