Individual provider Active NPI

Jack Marshall Trainor, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Ft Lauderdale, FL
National Provider Identifier
1033155171
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
ME77382 Issued in FL
Practice address
4701 N Federal Hwy
Suite a-39
Ft Lauderdale, FL 33308-4608
Phone
(954) 771-8177
Fax
(954) 771-3629
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X ME77382 FL Primary

Addresses

Primary practice location

4701 N Federal Hwy
Suite a-39
Ft Lauderdale, FL 33308-4608

Mailing address

2829 NE 33Rd CT
#405
Ft Lauderdale, FL 33306-2028
Phone (954) 564-5725

Other identifiers 1

IdentifierTypeStateIssuer
ME77382OtherFLMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101211000025 FL Practitioner - Family PracticePractitioner - Sports MedicinePractitioner - Peripheral Vascular Disease 8729000161 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
JC Edwards School of Medicine, Marshall University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabclinics Pta IncGroup PAC ID 0547237497, shared by 11 NPIs, 209 clinicians
Joel D Stein, D.O., P.aGroup PAC ID 6709829427, 7 clinicians

Practice addresses (Care Compare)

1800 Ne168Th St
North Miami Beach, FL 33162-3023
Phone (305) 947-3445

1817 E Commercial Blvd
Ft Lauderdale, FL 33308-3767
Phone (954) 836-8980

4109 N Federal Hwy
Ft Lauderdale, FL 33308-5530
Phone (954) 563-2707

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1230
Removal of skin lesions45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Joel D Stein, D.O., P.a CurrentSince Mar 30, 2015 Accepting new patients
Florida Post Acute Care Clinicians, LLC CurrentSince Sep 21, 2020 Accepting new patients
Florida Post Acute Care Clinicians, LLC CurrentSince Sep 21, 2020 Accepting new patients
Meli Orthopedic Centers of Excellence,LLC. Past Accepting new patients

Locations

7900 Venture Center Way
Boynton Beach, FL 33437
Phone (561) 330-0111

4445 Pine Forest Dr
Lake Worth, FL 33463
Phone (561) 965-5954

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

1800 NE 168th St
North Miami Beach, FL 33162
Phone (305) 917-1800

4109 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 396-8998

Interoperability endpoints

  • Direct secure messaging: jacktrainor@inso.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033155171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 NE 33RD CT",
            "address_2": "#405",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333062028",
            "telephone_number": "954-564-5725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 N FEDERAL HWY",
            "address_2": "SUITE A-39",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084608",
            "telephone_number": "954-771-8177",
            "fax_number": "954-771-3629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAINOR",
        "first_name": "JACK",
        "middle_name": "MARSHALL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME77382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME77382",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.