Andrew Whitis, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9112746 Issued in FL

Practice address

11382 Prosperity Farms Rd Ste 228
Palm Beach Gardens, FL 33410-3463

Phone

(561) 253-3980

NPI assigned

Nov 17, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cancer Center of South Florida PLLCGroup PAC ID 8426120239, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253
• Palm Beach Gardens Medical Center Hospital, Palm Beach Gardens, FL, CCN 100176

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: awhitis21103@jupitermedicalcenter.direct-ci.com
• Direct secure messaging: awhitis201083@direct.tgh.org
• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/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.

• Cancer Center of South Florida PLLC

  • Oncology Clinic/Center
  • Palm Springs, FL
  • NPI 1194990333
  Medicare reassignment Care Compare group
• Cancer Center of South Florida PLLC

  • Hematology & Oncology Physician
  • Riverview, FL
  • NPI 1558943761
  NPD
• Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1124558929
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Jupiter Medical Center, Inc.

  • General Acute Care Hospital
  • Jupiter, FL
  • NPI 1295721090
  Care Compare affiliation
• Palm Beach Gardens Community Hospital, Inc.

  • General Acute Care Hospital
  • Palm Beach Gardens, FL
  • NPI 1144251216
  Care Compare affiliation

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

{
    "created_epoch": "1573948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573948800000",
    "number": "1922643600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 SE NORTH BLACKWELL DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349526651",
            "telephone_number": "334-507-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11382 PROSPERITY FARMS RD STE 228",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103463",
            "telephone_number": "561-253-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITIS",
        "first_name": "ANDREW",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-17",
        "last_updated": "2019-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9112746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• N Westphal, L.M.T.
• Westside Therapy
• Gary Wexler, M.D.
• Stacy White
• Teya White
• James Whitney, D.C.
• Rachel Marie Whittaker, PTA
• Wholistic Medicine Clinic of Palm Beach Gardens, LLC
• Suzzette Marie Wible
• Anita Michelle Wilborn, MD

• Physician Assistant in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.