NPIMap

Organization Active NPI

Memorial Ekg Associates PA

  • Cardiovascular Disease Physician
  • Plantation, FL
National Provider Identifier
1063625754
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
MEMORIAL EKG ASSOCIATES PA
Practice address
1700 NW 66TH Ave
Suite 117
Plantation, FL 33313-4582
Phone
(954) 726-1808
Fax
(954) 726-1820
NPI assigned
May 8, 2007
Last updated
Aug 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Authorized official

Name
Mr. Barry D Harris, MDNPI 1922054170
Title
President
Phone
(954) 354-2600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

1700 NW 66TH Ave
Suite 117
Plantation, FL 33313-4582

Mailing address

PO Box 919608
Orlando, FL 32891-9608
Phone (954) 726-1808

Other names 1

  • Hollywood Memorial Hospital EKG Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040615001364 FL Part B Supplier - Clinic/Group Practice 9931183191 Receives reassigned benefits from 56 practitioners
Practice locations: Hollywood, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 70

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 70

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1063625754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919608",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328919608",
            "telephone_number": "954-726-1808",
            "fax_number": "954-726-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 NW 66TH AVE",
            "address_2": "SUITE 117",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333134582",
            "telephone_number": "954-726-1808",
            "fax_number": "954-726-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL EKG ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2025-08-11",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-354-2600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hollywood Memorial Hospital EKG",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Hollywood Memorial Hospital EKG",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.