Individual provider Active NPI

Andy S. Plaisir, PA-C

  • Physician Assistant
  • Plantation, FL
National Provider Identifier
1972170876
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9114673 Issued in FL
Practice address
350 NW 84TH Ave Ste 312
Plantation, FL 33324-1859
Phone
(954) 476-8800
Fax
(954) 429-6053
NPI assigned
Jun 9, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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 PA9114673 FL Primary

Addresses

Primary practice location

350 NW 84TH Ave Ste 312
Plantation, FL 33324-1859

Mailing address

350 NW 84TH Ave Ste 312
Plantation, FL 33324-1859
Phone (954) 476-8800

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
I20210825001781 FL Practitioner - Physician Assistant 0042615353 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9114673FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ortho Florida, LLC CurrentSince Jul 20, 2021 Accepting new patients
Ortho Florida, LLC CurrentSince Jul 20, 2021 Accepting new patients

Locations

660 Glades Rd
Ste 460
Boca Raton, FL 33431
Phone (561) 300-1792

1601 Clint Moore Rd
Ste 125
Boca Raton, FL 33487
Phone (561) 395-5733

433 Plaza Real
Ste 275
Boca Raton, FL 33432
Phone (561) 262-0084

350 NW 84th Ave
Ste 312
Plantation, FL 33324
Phone (954) 476-8800

Interoperability endpoints

  • Direct secure messaging: andy.plaisir.1@31774.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.

NPI Registry JSON

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1972170876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NW 84TH AVE STE 312",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241859",
            "telephone_number": "954-476-8800",
            "fax_number": "954-429-6053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NW 84TH AVE STE 312",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241859",
            "telephone_number": "954-476-8800",
            "fax_number": "954-429-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAISIR",
        "first_name": "ANDY",
        "middle_name": "S.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-09",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9114673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.