Professional Surgical Assistants
NPI 1740618974ActiveOrganization· Physician Assistant, Surgical· Plantation, FL
Physician Assistant, Surgical in Plantation, Florida, registered in NPPES in October 2013. The authorized official on file is Jacki M. Renta, Credentialing.
Overview
| NPI | 1740618974 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 25, 2013 |
| Last updated in NPPES | Oct 25, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | PA9107526 | FL |
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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All 16 surgical physician assistants in Plantation · All surgical physician assistants in Florida