Individual provider Active NPI

Marina Varivoda, PA

  • Physician Assistant
  • Florida City, FL
National Provider Identifier
1942728548
Registry record updated Sep 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9110577 Issued in FL
Practice address
50 SW 6TH Ave Apt 603
Florida City, FL 33034-4784
Phone
(786) 298-4335
NPI assigned
Sep 2, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2017

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 9110577 FL Primary

Addresses

Primary practice location

50 SW 6TH Ave Apt 603
Florida City, FL 33034-4784

Mailing address

50 SW 6TH Ave Apt 603
Florida City, FL 33034-4784
Phone (786) 298-4335

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
I20181002001347 FL Practitioner - Physician Assistant 0042561037 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Florida City, FL 33034
Phone (786) 298-4335

50 SW 6TH Ave Apt
Suite 603
Florida City, FL 33034-4784

Hospital & facility affiliations

  • Broward Health North Hospital, Deerfield Beach, FL, CCN 100086
  • West Boca Medical Center Hospital, Boca Raton, FL, CCN 100268
  • HCA Florida University Hospital Hospital, Davie, FL, CCN 100360

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9110577FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Select, Inc. Physician Assistant PastSince Dec 17, 2020 Accepting new patients
Health Consulting Associates LLC PastSince Oct 20, 2015 Accepting new patients

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1504310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504310400000",
    "number": "1942728548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SW 6TH AVE APT 603",
            "city": "FLORIDA CITY",
            "state": "FL",
            "postal_code": "330344784",
            "telephone_number": "786-298-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SW 6TH AVE APT 603",
            "city": "FLORIDA CITY",
            "state": "FL",
            "postal_code": "330344784",
            "telephone_number": "786-298-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARIVODA",
        "first_name": "MARINA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-02",
        "last_updated": "2017-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9110577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florida City, FL

Sources for this page

Verify at the official NPI Registry.