David R Ancona MD PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME0044382 Issued in FL

Legal business name

DAVID R ANCONA MD PA

Practice address

603 N Flamingo Rd
Suite 365
Pembroke Pines, FL 33028-1023

Phone

(954) 432-1771

Fax

(954) 432-2722

NPI assigned

Aug 2, 2010

Last updated

Mar 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David R Ancona, MDNPI 1770579427

Title

President

Phone

(954) 432-1771

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

Interoperability endpoints

• Direct secure messaging: dancona12555@mhsdirect.net

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David R Ancona, M.D.

  • Cardiovascular Disease Physician
  • Pembroke Pines, FL
  • NPI 1770579427
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1013221092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 N FLAMINGO RD",
            "address_2": "SUITE 365",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281023",
            "telephone_number": "954-432-1771",
            "fax_number": "954-432-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N FLAMINGO RD",
            "address_2": "SUITE 365",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281023",
            "telephone_number": "954-432-1771",
            "fax_number": "954-432-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R ANCONA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-02",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "ANCONA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-432-1771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0044382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dancona12555@MHSDIRECT.NET",
            "affiliation": "N",
            "address_1": "603 N Flamingo Rd",
            "address_2": "SUITE 365",
            "city": "Pembroke Pines",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330281023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vicky Brigitte Darveau
• Shiv Kailash Daryanani, MD
• David Jurkovich MD LLC
• David M Feldbaum MD PA (Vein & Vascular Center of South Florida)
• David P Morris MD PA
• Ann E David, M.D.
• Shay Davidov
• Aliza Bracha Davids
• Davie Medical Center, LLC (HCA Florida ER (City Center), a part of HCA Florida University Hospital)
• Brooke Davignon

• Cardiovascular Disease Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.