Individual provider Active NPI

Andrea McGlone, PA-C

  • Medical Physician Assistant
  • Fort Lauderdale, FL
National Provider Identifier
1932523925
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9107716 Issued in FL
Practice address
2700 W Cypress Creek Rd
Suite C100
Ft Lauderdale, FL 33309-1744
Phone
(954) 974-3111
Fax
(954) 974-6191
NPI assigned
Feb 11, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9107716 FL Primary

Addresses

Primary practice location

2700 W Cypress Creek Rd
Suite C100
Ft Lauderdale, FL 33309-1744

Mailing address

2700 W Cypress Creek Rd
Suite C100
Ft Lauderdale, FL 33309-1744
Phone (954) 974-3111

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151104002929 FL Practitioner - Physician Assistant 8527378413 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Twin Lakes Heart Center LLCGroup PAC ID 7416308457, 2 clinicians

Practice addresses (Care Compare)

2900 N Military TRL
Suite 150
Boca Raton, FL 33431-6308
Phone (561) 241-4210

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA9107716FLMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: andrea.mcglone.1@27406.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428451200000",
    "number": "1932523925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 W CYPRESS CREEK RD",
            "address_2": "SUITE C100",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091744",
            "telephone_number": "954-974-3111",
            "fax_number": "954-974-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W CYPRESS CREEK RD",
            "address_2": "SUITE C100",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091744",
            "telephone_number": "954-974-3111",
            "fax_number": "954-974-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGLONE",
        "first_name": "ANDREA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-11",
        "last_updated": "2015-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9107716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.