MEMORIAL DIVISION OF PROFESSIONAL SERVICES
NPI 1285641209
Physician Assistant - Surgical in Hollywood, FL
NPI Status: Active since August 02, 2006
Contact Information
3501 JOHNSON STREET
HOLLYWOOD, FL
ZIP 33021
Phone: (954) 987-2000
Fax: (954) 985-5691
- Organization
- Physician Assistant
- Surgical
- Accepts Insurance
About MEMORIAL DIVISION OF PROFESSIONAL SERVICES
This page provides the complete NPI Profile along with additional information for Memorial Division Of Professional Services, a provider established in Hollywood, Florida operating as a Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1285641209 assigned on August 2006. The practitioner's primary taxonomy code is 363AS0400X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Memorial Division Of Professional Services. The authorized official of this NPI record is Mario Salceda-cruz (Administrator)
- NPI
- 1285641209
- Provider Legal Name
- SOUTH BROWARD HOSPITAL DISTRICT
- Other Organization Name
- MEMORIAL DIVISION OF PROFESSIONAL SERVICES
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3501 JOHNSON STREET HOLLYWOOD, FL 33021
- Location Phone
- (954) 987-2000
- Location Fax
- (954) 985-5691
- Mailing Address
- 2900 CORPORATE WAY DOOR D MIRAMAR, FL 33025
- Mailing Phone
- (954) 276-5685
- Mailing Fax
- (954) 985-5691
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-02-2006
- Last Update Date
- 02-16-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AmeriHealth Caritas Next Bronze Essential + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Premier + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Signature + No Referrals - HMO
- AmeriHealth Caritas Next Gold Premier + No Referrals - HMO
- AmeriHealth Caritas Next Gold Signature + No Referrals - HMO
- AmeriHealth Caritas Next Silver Essential + No Referrals - HMO
- AmeriHealth Caritas Next Silver Premier + No Referrals - HMO
- AmeriHealth Caritas Next Silver Signature + No Referrals - HMO
- AvMed Entrust Bronze 600 (2026) - HMO
- AvMed Entrust Bronze 650 (2026) - HMO
- AvMed Entrust Expanded Bronze Standard (2026) - HMO
- AvMed Entrust Gold 125 (2026) - HMO
- AvMed Entrust Gold 125 Dental+Vision (2026) - HMO
- AvMed Entrust Gold Standard (2026) - HMO
- AvMed Entrust Platinum 25 (2026) - HMO
- AvMed Entrust Platinum 25 Dental+Vision (2026) - HMO
- AvMed Entrust Platinum Standard (2026) - HMO
- AvMed Entrust Silver 350 (2026) - HMO
- AvMed Entrust Silver 350 Dental+Vision (2026) - HMO
- AvMed Entrust Silver 550 (2026) - HMO
- AvMed Entrust Silver 550 Dental+Vision (2026) - HMO
- AvMed Entrust Silver Standard (2026) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 98189 | MEDICARE ID-TYPE UNSPECIFIED (04) | FL |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1285641209, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 51 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
HOLLYWOOD, FL 33021
HOLLYWOOD, FL 33021
HOLLYWOOD, FL 33021
HOLLYWOOD, FL 33021
HOLLYWOOD, FL 33021
HOLLYWOOD, FL 33021
HOLLYWOOD, FL 33021
HOLLYWOOD, FL 33021
HOLLYWOOD, FL 33021
HOLLYWOOD, FL 33021
HOLLYWOOD, FL 33021
HOLLYWOOD, FL 33021
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285641209, enumerated as an "organization" on August 02, 2006.
The provider is located at 3501 JOHNSON STREET HOLLYWOOD, FL 33021 and the phone number is (954) 987-2000.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
The provider might be accepting Accepts: AmeriHealth Caritas Next, AvMed, Medicare and. Please consult your insurance carrier or call the provider to verify.
