Independentsurgiassistllc
NPI 1104724525ActiveOrganization· Physician Assistant, Surgical· Fort Lauderdale, FL
Physician Assistant, Surgical in Fort Lauderdale, Florida, registered in NPPES in October 2026. The authorized official on file is Kayla Lynn Ventura, PA-C, Member.
Overview
| NPI | 1104724525 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 27, 2026 |
| Last updated in NPPES | Oct 27, 2026 |
| Certified by provider | Oct 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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