Stacey McFadden, P.A.-C.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9109862 Issued in FL

Practice address

1117 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-4488

Phone

(954) 454-6300

Fax

(954) 241-6908

NPI assigned

Oct 7, 2016

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 identifiers 1

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

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thomas Stephen Breza Jr MD PAGroup PAC ID 2062537814, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: smcfadden@dermbythesea.emadirect.md

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.

• Thomas Stephen Breza Jr MD PA

  • Dermatology Physician
  • Lauderdale by the Sea, FL
  • NPI 1659600120
  Medicare reassignment Care Compare group
• Thomas S Breza MD PA

  • Specialist
  • Lauderdale by the Sea, FL
  • NPI 1114259165
  NPD

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1982154548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4341 BOUGAINVILLA DR",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333085017",
            "telephone_number": "954-492-8866",
            "fax_number": "954-337-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 E HALLANDALE BEACH BLVD",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094488",
            "telephone_number": "954-454-6300",
            "fax_number": "954-241-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFADDEN",
        "first_name": "STACEY",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-07",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9109862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "PA9109862",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maya Bat-Ami PSYD PA
• Shalonda McCallum, O.D.
• Jill Lynn McCormick
• Sadie Marie McDonald
• Ezzard Lee McFadden
• Rashad McIver, D.P.T.
• Kandis McKenzie, PHYSICAL THERAPIST
• Michael Joachim McKenzie, M.D.
• Michelle McPhillip, PHYSICAL THERAPIST
• MD Now Medical Centers, Inc

• Medical Physician Assistant in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.