Deanna Lynn Pichler, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9102262 Issued in FL

Practice address

3740 Curtis Blvd
Suite 108
Port St John, FL 32927-3962

Phone

(321) 633-5500

Fax

(321) 633-5566

NPI assigned

Dec 12, 2005

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Cape Heart Group Inc

  • Cardiovascular Disease Physician
  • Merritt Island, FL
  • NPI 1154304657
  NPD (past)

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

{
    "created_epoch": "1134345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293408000000",
    "number": "1992780175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 CORONA AVE",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329312785",
            "telephone_number": "321-266-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 CURTIS BLVD",
            "address_2": "SUITE 108",
            "city": "PORT ST JOHN",
            "state": "FL",
            "postal_code": "329273962",
            "telephone_number": "321-633-5500",
            "fax_number": "321-633-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICHLER",
        "first_name": "DEANNA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-12",
        "last_updated": "2010-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291528600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROVIDER NUMBER",
            "identifier": "970029912",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Brevard Medical Support, Inc
• Flavia Lorena Ortiz
• Julio Merrel Pagan, MD
• Ravindran Balambal Palaniyandi, M.D.
• Parrish Medical Center
• Daniela E Rusovici, MD
• Sarah Maria Sampson Crandall, FNP
• David A Schafer, MD
• Penelope Constance Scott, LMT
• Saminder Singh, M.D.

• Physician Assistant in Port St John, FL
• Providers in Port St John, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.