Oceanside Elite Surgical Assisting, LLC
NPI 1780247189ActiveOrganization· Physician Assistant, Surgical· Fort Lauderdale, FL
Physician Assistant, Surgical in Fort Lauderdale, Florida, registered in NPPES in April 2019. The authorized official on file is Shelby Allison Lane, PA-C, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1780247189 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 21, 2019 |
| Last updated in NPPES | Sep 16, 2019 |
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) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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