NISSY SURGICAL 1ST ASSIST LLC (NPI# 1134584519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134584519 |
| Entity Type | Organization |
| Organization Name | NISSY SURGICAL 1ST ASSIST LLC |
| Practice Address |
10752 Emilia Isles Ter Boynton Beach FL 33473-4965 |
| Practice Telephone | 9544161781 |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |
| Authorized Official Name | RODRIGUE TERTUS (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 9544161781 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9107169 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10752 EMILIA ISLES TER |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33473-4965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285840264 | Rodrigue Tertus | Respiratory Therapist, Registered | 10752 Emilia Isles Ter, Boynton Beach, FL 33473-4965 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013293059 | Emily Katcher | Nurse Practitioner | 8662 Daystar Ridge Pt, Boynton Beach, FL 33473 | 2011-10-21 |
| 1962672030 | Physical Therapy On Wheels Inc | Physical Therapist | 11195 Millpond Greens Drive, Boynton Beach, FL 33473 | 2008-03-05 |
| 1750444667 | Rochelle Stern | Nurse Anesthetist, Certified Registered | 8843 Heartsong Terrace, Boynton Beach, FL 33473 | 2006-12-19 |
| 1518020106 | Steven B Berlin | Dentist | 12019 Glacier Bay Drive, Boynton Beach, FL 33473 | 2006-12-18 |
| 1144544065 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 10110 Lyons Rd, Boynton Beach, FL 33473-4701 | 2010-03-22 |
| 1699229328 | Joy Ebo | Pharmacist | 10110 Lyons Rd, Boynton Beach, FL 33473-4701 | 2016-08-10 |
| 1306115720 | Mariam Ikladious Tawadros | Pharmacist | 10110 Lyons Rd, Boynton Beach, FL 33473-4701 | 2011-12-14 |
| 1982972295 | Bijal Patel | Pharmacist | 10110 Lyons Rd, Boynton Beach, FL 33473-4701 | 2011-12-01 |
| 1851420640 | Dennis Harkins | Chiropractor | 10684 Stone Garden Dr, Boynton Beach, FL 33473-4804 | 2007-03-05 |
| 1194766956 | Fred Tow | Radiology | 8921 Raven Rock Ct, Boynton Beach, FL 33473-4831 | 2006-06-10 |
| Find all providers in zip 33473 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154703163 | Jeanie Moran | Physician Assistant | 9394 Cobblestone Brooke Ct, Boynton Beach, FL 33472 | 2015-06-25 |
| 1578623070 | William X Fincke | Physician Assistant | 9904 Pavarotti Ter, #103, Boynton Beach, FL 33437-3372 | 2006-12-12 |
| 1740395748 | Specialtycare Surgical Assist, LLC | Physician Assistant | 2240 W Woolbright Rd Ste 210, Boynton Beach, FL 33426-6363 | 2006-08-20 |
| 1831171289 | James Manning | Physician Assistant | 6056 Boynton Beach Blvd. Suite 215, Boynton Beach, FL 33437 | 2005-11-18 |
| 1922425420 | Saira Khan | Physician Assistant | 8645 W Boynton Beach Blvd, Boynton Beach, FL 33472-4415 | 2014-03-21 |
| 1477692986 | Erica Lynn Sahlgren | Physician Assistant | 2800 S Seacrest Blvd, Suite 200, Boynton Beach, FL 33435-7960 | 2007-02-05 |
| 1790854545 | Elke Ojeda Ulloa | Physician Assistant | 2800 S Seacrest Blvd, Ste 200, Boynton Beach, FL 33435-7960 | 2006-11-07 |
| 1235221490 | Arturo Silva | Physician Assistant | 2240 W Woolbright Rd Ste 210, Boynton Beach, FL 33426 | 2006-09-28 |
| 1366424764 | William Ulrich | Physician Assistant | 7593 Boynton Beach Blvd, Ste 280, Boynton Beach, FL 33437-6154 | 2005-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598691 | Monica Nancy Ginocchio | Physician Assistant | 1020 Crosspointe Dr Ste 110, Naples, FL 34110-0918 | 2020-11-06 |
| 1427657055 | Alyson Ryall | Physician Assistant | 480 Ventura Pl, Vero Beach, FL 32963-4262 | 2020-10-24 |
| 1104436476 | Forrest Joseph Steslow | Physician Assistant | 1971 Brandywine Rd Apt 305, West Palm Beach, FL 33409-6800 | 2020-08-03 |
| 1063039576 | Joshua Bras Prewitt | Physician Assistant | 4800 Linton Blvd Ste 201, Delray Beach, FL 33445-6584 | 2020-06-30 |
| 1003443904 | Sheila Rhinehart | Physician Assistant | 981 Tarpon Ave, Sebastian, FL 32958-5147 | 2020-03-23 |
| 1952932493 | Lisel Spieler | Physician Assistant | 1173 Fins Up Ct, Daytona Beach, FL 32124-3719 | 2020-02-03 |
| 1326685991 | Nikolai X Lincavage | Physician Assistant | 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 | 2019-12-03 |
| 1356984686 | Zane K Jude | Physician Assistant | 1775 Linton Lake Dr, Delray Beach, FL 33445-6927 | 2019-10-18 |
| 1720635998 | Jose R Munoz | Physician Assistant | 4801 Esedra Ct Apt 203, Lake Worth, FL 33467-5019 | 2019-08-22 |
| 1811559578 | Sydney Gillen | Physician Assistant | 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 | 2019-07-02 |
| Find all providers with the same taxonomy | ||||
| City | BOYNTON BEACH |
| Zip Code | 33473 |
Please comment or provide details below to improve the information on NISSY SURGICAL 1ST ASSIST LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.