Individual provider Active NPI

Gary M Arnold, PA-C

  • Physician Assistant
  • Boynton Beach, FL
National Provider Identifier
1942246012
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA0003671 Issued in FL
Practice address
2828 S Seacrest Blvd
Suite 216
Boynton Beach, FL 33435-7944
Phone
(561) 395-2117
Fax
(561) 395-4551
NPI assigned
Jun 20, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA0003671 FL Primary

Addresses

Primary practice location

2828 S Seacrest Blvd
Suite 216
Boynton Beach, FL 33435-7944

Mailing address

2828 S Seacrest Blvd
Boynton Beach, FL 33435-7944
Phone (561) 395-2117

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
I20040719000713 FL Practitioner - Physician Assistant 6608855077 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabclinics Pta IncGroup PAC ID 0547237497, shared by 11 NPIs, 209 clinicians
Golden Orthopedic Knee Hip Shoulder and Foot Center IncGroup PAC ID 2668895756, 11 clinicians

Practice addresses (Care Compare)

1817 E Commercial Blvd
Ft Lauderdale, FL 33308-3767
Phone (954) 836-8980

21644 State Rd
Suite 7
Boca Raton, FL 33428-1842
Phone (561) 488-8000

5352 Linton Blvd
Delray Beach, FL 33484-6514
Phone (561) 498-4440

9970 Central Park Blvd N
Suite 300
Boca Raton, FL 33428-2237
Phone (561) 488-2200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA0003671FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Surgery Associates, PA CurrentSince May 17, 2004 Accepting new patients
Golden Orthopaedic Knee & Sports Medicine Center Inc Past Accepting new patients

Locations

2623 S Seacrest Blvd
Ste 210
Boynton Beach, FL 33435
Phone (561) 736-9699

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

2828 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 395-2117

2828 S Seacrest Blvd
Ste 216
Boynton Beach, FL 33435
Phone (561) 395-2117

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1942246012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 S SEACREST BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357944",
            "telephone_number": "561-395-2117",
            "fax_number": "561-395-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 S SEACREST BLVD",
            "address_2": "SUITE 216",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357944",
            "telephone_number": "561-395-2117",
            "fax_number": "561-395-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "GARY",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA0003671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.