Organization Active NPI

Graduate Surgical PA

  • Surgery Physician
  • West Palm Beach, FL
National Provider Identifier
1043511728
Registry record updated Nov 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME0044715 Issued in FL
Legal business name
GRADUATE SURGICAL PA
Practice address
1201 N Olive Ave
West Palm Beach, FL 33401-3515
Phone
(561) 655-4334
Fax
(561) 655-4864
NPI assigned
Nov 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2010

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

Authorized official

Name
Daniel R Higgins, M.D.
Title
President
Phone
(561) 655-4334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X ME0044715 FL Primary

Addresses

Primary practice location

1201 N Olive Ave
West Palm Beach, FL 33401-3515

Mailing address

1201 N Olive Ave
West Palm Beach, FL 33401-3515
Phone (561) 655-4334

National Provider Directory

National Provider Directory

Locations

1201 N Olive Ave
West Palm Beach, FL 33401
Phone (561) 621-0012

NPI Registry JSON

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1043511728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N OLIVE AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013515",
            "telephone_number": "561-655-4334",
            "fax_number": "561-655-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N OLIVE AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013515",
            "telephone_number": "561-655-4334",
            "fax_number": "561-655-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRADUATE SURGICAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-11",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-655-4334",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME0044715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.