Active NPI
Jack Marshall Trainor, M.D.
- Sports Medicine (Family Medicine) Physician
- Ft Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- ME77382
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME77382 | Other | FL | MEDICAL 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- JC Edwards School of Medicine, Marshall University, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rehabclinics Pta Inc
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 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1230 |
| Removal of skin lesions | 45 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joel D Stein, D.O., P.a | Current | Accepting new patients | |
| Florida Post Acute Care Clinicians, LLC | Current | Accepting new patients | |
| Florida Post Acute Care Clinicians, LLC | Current | 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
- 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.
-
- Family Medicine Physician
- Miramar, FL
- NPI 1811398811
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Fort Lauderdale, FL
- NPI 1124218037
-
- Family Medicine Physician
- Miramar, FL
- NPI 1306396734
-
- Specialist
- Ft Lauderdale, FL
- NPI 1568581502
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Encompass Health Rehabilitation Hospital of Sunrise
- Rehabilitation Hospital
- Sunrise, FL
- NPI 1114990827
Inpatient rehabilitation facility
-
dba Holy Cross Medical Group
- Internal Medicine Physician
- Ft. Lauderdale, FL
- NPI 1467401877
Hospital
-
dba Holy Cross Hospital
- General Acute Care Hospital
- Ft Lauderdale, FL
- NPI 1639197395
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.