Active NPI
Andy S. Plaisir, PA-C
- Physician Assistant
- Plantation, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9114673
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9114673 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ortho Florida, LLC | Current | Accepting new patients | |
| Ortho Florida, LLC | Current | 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
- 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.
-
- Specialist
- Boca Raton, FL
- NPI 1821113192
-
- Orthopaedic Surgery Physician
- Ft Lauderdale, FL
- NPI 1225833858
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.