Organization Active NPI

Mark Lamet MD PA

Doing business as The Center for Gastrointestinal Disorders

  • Gastroenterology Physician
  • Hollywood, FL
National Provider Identifier
1013004605
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
MARK LAMET MD PA
Doing business as
The Center for Gastrointestinal Disorders
Practice address
4350 Sheridan St Ste 101
Hollywood, FL 33021-3556
Phone
(954) 961-7771
Fax
(954) 961-9633
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Authorized official

Name
Dr. Mark Lamet, MDNPI 1972554731
Title
President Owner
Phone
(954) 961-7771

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
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

4350 Sheridan St Ste 101
Hollywood, FL 33021-3556

Mailing address

4350 Sheridan St Ste 101
Hollywood, FL 33021-3556
Phone (954) 961-7771

Other identifiers 2

IdentifierTypeStateIssuer
10D0709356OtherCLIA
064455200MedicaidFL

Other names 1

  • The Center for Gastrointestinal Disorders Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040122000826 FL Part B Supplier - Clinic/Group Practice 8628970423 Receives reassigned benefits from 6 practitioners
Practice locations: Hollywood, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0709356Mark Lamet MD PA4350 Sheridan Street Suite 101, Hollywood, FL 33021ComplianceMar 4, 2028

National Provider Directory

National Provider Directory

Locations

4350 Sheridan St
Ste 101
Hollywood, FL 33021
Phone (954) 961-7771

Practitioners & affiliated clinicians

Practitioners 6

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": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1013004605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 SHERIDAN ST STE 101",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213556",
            "telephone_number": "954-961-7771",
            "fax_number": "954-961-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 SHERIDAN ST STE 101",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213556",
            "telephone_number": "954-961-7771",
            "fax_number": "954-961-9633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK LAMET MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "LAMET",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "954-961-7771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "10D0709356",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064455200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center for Gastrointestinal Disorders",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.