Unknown Individual – Medical Physician Assistant, NPI 1225137128
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
2692W LAKE MARY BLVD
LAKE MARY, FL 327463535
Phone: (407) 936-2070
Fax: (407) 333-9974
Type: Mailing
621 Wilkinson St
Orlando, FL 328031047
Phone: (352) 404-6959
Fax: (524) 046-9603
Type: Location
720 ALMOND ST
CLERMONT, FL 347113124
Phone: (352) 404-6959
Fax: (352) 404-6960
Type: Mailing
661, East Altamonte Drive, Altamonte Springs, Seminole County, Florida, 32701, United States
SUITE 231
ALTAMONTE SPRINGS, FL 327015105
Phone: (407) 331-0771
Fax: (407) 331-0577
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $83.
Total Amount is formed as General ($83) + Research ($0) + Ownership ($0) = $83.
Last reported payment date: 2024-02-20 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($26).
Total Amount
$83
General + Research + Ownership
Payments
4
Total payment records
General Amount
$83
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $26 |
| ABBVIE INC. | $24 |
| Boston Scientific Corporation | $17 |
| VIVUS LLC | $16 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32746)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Interventional Pain Management, Physical Medicine And Rehabilitation | FL | |
| Nurse Practitioner | FL | |
| Interventional Pain Management, Physical Medicine And Rehabilitation | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | MD | |
| Physical Medicine And Rehabilitation | MD | |
| Nurse Practitioner | FL |
Reviews
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