Organization Active NPI

Tracey H Stokes MD PA

  • Specialist
  • Fort Lauderdale, FL
National Provider Identifier
1003824715
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
TRACEY H STOKES MD PA
Practice address
717 SE 2ND St
Fort Lauderdale, FL 33301-3605
Phone
(954) 463-5208
Fax
(954) 463-5288
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tracey H Stokes, M.D.NPI 1932115516
Title
President & C.E.O.
Phone
(954) 463-5208

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

717 SE 2ND St
Fort Lauderdale, FL 33301-3605

Mailing address

717 SE 2ND St
Fort Lauderdale, FL 33301-3605
Phone (954) 463-5208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051011000447 FL Part B Supplier - Clinic/Group Practice 2567487341 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Lauderdale, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1003824715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 SE 2ND ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013605",
            "telephone_number": "954-463-5208",
            "fax_number": "954-463-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 SE 2ND ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013605",
            "telephone_number": "954-463-5208",
            "fax_number": "954-463-5288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACEY H STOKES MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "STOKES",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT & C.E.O.",
        "authorized_official_telephone_number": "954-463-5208",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.