Active NPI
Paul Brenden Tartell, M.D.
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Plantation, FL
National Provider Identifier
1053342550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- License
- ME62877
- Practice address
- 100 NW 82ND Ave
Suite 104
Plantation, FL 33324-7809 - Phone
- (954) 236-0200
- Fax
- (954) 474-3405
- NPI assigned
- Jul 5, 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 |
|---|---|---|---|---|
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | ME62877 | FL | Primary |
Addresses
Primary practice location
100 NW 82ND Ave
Suite 104
Plantation, FL 33324-7809
Mailing address
100 NW 82ND Ave
Suite# 104
Plantation, FL 33324-7809
Phone (954) 236-0200
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24526 | Other | FL | VISTA OF SOUTH FLORIDA |
| 650799846 | Other | FL | BEECHSTREET |
| 25711 | Other | FL | BLUE CROSS BLUE SHIELD |
| 3240 | Other | FL | TOTAL HEALTH CHOICE |
| 4118 | Other | FL | DIMENSIONS |
| 650799846 | Other | FL | PREFERRED HEALTH NETWORK |
| 76701105 | Other | FL | CIGNA |
| 005317 | Other | FL | NEIGHBORHOOD HEALTH |
| 650799846 | Other | FL | SOUTHCARE |
| 0699458 | Other | FL | GHI |
| 377750200 | Medicaid | FL | |
| 510990 | Other | FL | AETNA |
| 740200 | Other | FL | FIRST HEALTH PPO |
| 40011790 | Other | FL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida ENT Associates, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba South Florida ENT Associates, Inc.
- Otolaryngology Physician
- West Miami, FL
- NPI 1184625733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366243200000",
"number": "1053342550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 NW 82ND AVE",
"address_2": "SUITE# 104",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333247809",
"telephone_number": "954-236-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NW 82ND AVE",
"address_2": "SUITE 104",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333247809",
"telephone_number": "954-236-0200",
"fax_number": "954-474-3405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARTELL",
"first_name": "PAUL",
"middle_name": "BRENDEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2013-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "FL",
"license": "ME62877",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISTA OF SOUTH FLORIDA",
"identifier": "24526",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEECHSTREET",
"identifier": "650799846",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "25711",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TOTAL HEALTH CHOICE",
"identifier": "3240",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIMENSIONS",
"identifier": "4118",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED HEALTH NETWORK",
"identifier": "650799846",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "76701105",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH",
"identifier": "005317",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHCARE",
"identifier": "650799846",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0699458",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "377750200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "510990",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH PPO",
"identifier": "740200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "40011790",
"state": "FL"
}
],
"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 Apr 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.