SURGICAL PHYSICIAN ASSISTANTS LLC
NPI 1467560896
Physician Assistant - Surgical in Merritt Island, FL

Active since August 27, 2006
205 PLATT AVE, MERRITT ISLAND, FL 32952(321) 615-4800(321) 574-0590 Get Directions Write a Review

NPPES record last updated: December 8, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Surgical Physician Assistants Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SURGICAL PHYSICIAN ASSISTANTS LLC (NPI 1467560896) is a healthcare organization registered as a surgical in Merritt Island, Florida and active in the NPI registry since August 2006. The organization lists Brian Michael Janke, Owner, as its authorized official.

NPPES Registry Identity

NPI1467560896
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameSURGICAL PHYSICIAN ASSISTANTS LLC
Location Address205 PLATT AVEMerritt Island, FL 32952-4963
Mailing AddressPo Box 362Cocoa, FL 32923-0362 · (321) 615-4800 · Fax (321) 574-0590
Fax(321) 574-0590
Organization SubpartNo
Authorized OfficialBrian Michael JankeOwner · (321) 615-4800
Enumeration DateAugust 27, 2006
Last NPPES UpdateDecember 8, 2010
NPI 1467560896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in FL · PA 9102122
205 PLATT AVE, Merritt Island, FL 32952

Other Identifiers 2

OtherK9613FL · Medicare Group Id #
Medicare UPINP71495FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Surgical)
205 PLATT AVE
MERRITT ISLAND, FL 32952

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Surgical Physician Assistants LLC's NPI number?

The NPI number for Surgical Physician Assistants LLC is 1467560896. It was assigned to this organization in the NPPES registry on August 27, 2006.

Where is Surgical Physician Assistants LLC located?

Surgical Physician Assistants LLC is located at 205 Platt Ave, Merritt Island, FL 32952. The listed phone number is (321) 615-4800.

What is Surgical Physician Assistants LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

What insurance does Surgical Physician Assistants LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Surgical Physician Assistants LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Surgical Physician Assistants LLC was last updated on December 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.