Organization Active NPI

ER Urgent Care & Diagnostic, Inc.

  • Legal Medicine
  • Plantation, FL
National Provider Identifier
1023326824
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
ME43064 Issued in FL
Legal business name
ER URGENT CARE & DIAGNOSTIC, INC.
Practice address
4141 NW 5TH St
100
Plantation, FL 33317-2180
Phone
(954) 581-1581
Fax
(954) 581-0543
NPI assigned
Sep 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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

Authorized official

Name
Dr. Jean Marie Eugene, M.D.
Title
Medical Director
Phone
(954) 581-1581

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH9049 FL
Legal MedicineGroup: 193200000X MULTI-SPECIALTY GROUP 173000000X ME43064 FL Primary

Addresses

Primary practice location

4141 NW 5TH St
100
Plantation, FL 33317-2180

Mailing address

4141 NW 5TH St
100
Plantation, FL 33317-2180
Phone (954) 581-1581

National Provider Directory

National Provider Directory

Locations

4141 NW 5th St
Ste 100
Plantation, FL 33317
Phone (954) 584-8354

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1023326824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 NW 5TH ST",
            "address_2": "100",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172180",
            "telephone_number": "954-581-1581",
            "fax_number": "954-581-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 NW 5TH ST",
            "address_2": "100",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172180",
            "telephone_number": "954-581-1581",
            "fax_number": "954-581-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ER URGENT CARE & DIAGNOSTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "EUGENE",
        "authorized_official_first_name": "JEAN MARIE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "954-581-1581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9049",
            "primary": false
        },
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "FL",
            "license": "ME43064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.