Individual provider Active NPI

Alexander Iskandar, PA-C

  • Surgical Physician Assistant
  • Lake Worth, FL
National Provider Identifier
1972530806
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9102359 Issued in FL
Practice address
3618 Lantana Rd
Suite 202
Lake Worth, FL 33462-2246
Phone
(561) 296-2450
Fax
(561) 296-1022
NPI assigned
Jun 27, 2006
Last updated
Dec 7, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA9102359 FL Primary

Addresses

Primary practice location

3618 Lantana Rd
Suite 202
Lake Worth, FL 33462-2246

Mailing address

3618 Lantana Rd
Suite 202
Lake Worth, FL 33462-2246
Phone (561) 296-2450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA9102359FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Spine, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alexander.iskandarpac.p1@direct.thespinecenter.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291680000000",
    "number": "1972530806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 LANTANA RD",
            "address_2": "SUITE 202",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334622246",
            "telephone_number": "561-296-2450",
            "fax_number": "561-296-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3618 LANTANA RD",
            "address_2": "SUITE 202",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334622246",
            "telephone_number": "561-296-2450",
            "fax_number": "561-296-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISKANDAR",
        "first_name": "ALEXANDER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2010-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9102359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.