First Peak Surgical Assisting

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9103288 Issued in FL

Legal business name

FIRST PEAK SURGICAL ASSISTING

Practice address

310 Amberjack PL
Melbourne Beach, FL 32951-2906

Phone

(321) 684-1193

NPI assigned

Sep 21, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Daniel MooreNPI 1053302059

Title

President

Phone

(321) 684-1193

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Moore, P.A.

  • Surgical Physician Assistant
  • Melbourne Beach, FL
  • NPI 1053302059
  Authorized official Same address or phone

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1982113916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 AMBERJACK PL",
            "city": "MELBOURNE BEACH",
            "state": "FL",
            "postal_code": "329512906",
            "telephone_number": "321-684-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 AMBERJACK PL",
            "city": "MELBOURNE BEACH",
            "state": "FL",
            "postal_code": "329512906",
            "telephone_number": "321-684-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST PEAK SURGICAL ASSISTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-684-1193"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9103288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane M. Digeronimo, LCSW, PA
• Diane M Digeronimo, LCSW
• Catherine Mary Elsawaf, RN
• Alexis Margaret Eppes, DNP, PMHNP-BC
• Richard C Fernandez, M.S.,CCC/SLP
• Thomas Vincent Gale, M.A.
• Martin Gaston Garcia, PT
• Ari Gronich, CPT. CES. PES.
• Marisa N Haig, MPH, RD, LDN, CPH
• Hand in Hand Pediatric Therapy LLC

• Surgical Physician Assistant in Melbourne Beach, FL
• Providers in Melbourne Beach, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.