Debora Marie Baxa-Conroy, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9103803 Issued in FL

Practice address

1265 36TH Street
Vero Beach, FL 32960-6574

Phone

(772) 567-6340

Fax

(772) 567-3564

NPI assigned

Oct 27, 2006

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 names 1

• Mrs. Debora Marie Baxa Other 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

Credentials

Physician Assistant

State licenses

Practice roles

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.

• DRS Roberts & Bryan PA

  • Dermatology Physician
  • Rockledge, FL
  • NPI 1346226404
  Medicare reassignment
• Housecalls Express Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Stuart, FL
  • NPI 1346349958
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1952487761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 36TH STREET",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606574",
            "telephone_number": "772-567-6340",
            "fax_number": "772-567-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 36TH STREET",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606574",
            "telephone_number": "772-567-6340",
            "fax_number": "772-567-3564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXA-CONROY",
        "first_name": "DEBORA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9103803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORA",
            "last_name": "BAXA",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "PAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shannon H Bass, M.ED.
• Lauren K Basso
• Sarah Ann Batson
• Thomas Anthony Baudo, M.D.
• Ashley Ann Baum, ARNP
• Mark Alexander Bayard, LMHCRI
• BDDC Consulting LLC
• Beachland Anesthesia PLLC
• Rachel Beam, M.S., RMHCI, NCC
• Jonathan A. Beatty, M.D.

• Physician Assistant in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.