Palm Beach General Surgery and Hernia Center PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

OS11700 Issued in FL

Legal business name

PALM BEACH GENERAL SURGERY AND HERNIA CENTER PLLC

Practice address

3370 Burns Rd Ste 100
Palm Beach Gardens, FL 33410-4327

Phone

(864) 546-0353

NPI assigned

Jul 6, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Coykendall, DONPI 1548295546

Title

Owner

Phone

(864) 546-0353

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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.

• David Coykendall, D.O.

  • Surgery Physician
  • Palm Beach Gardens, FL
  • NPI 1548295546
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1063933505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 BURNS RD STE 100",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104327",
            "telephone_number": "864-546-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 BURNS RD STE 100",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104327",
            "telephone_number": "864-546-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH GENERAL SURGERY AND HERNIA CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "COYKENDALL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-546-0353",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "OS11700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palm Beach Gardens Eye Doctor Inc
• Palm Beach Gardens Medical, LLC
• Palm Beach Gardens Ortho Location LLC (The Smile Store)
• Palm Beach Gardens Regional Surgery Center LLC
• Palm Beach Gardens Surgery, LLC
• Palm Beach Hearing Associates, PLLC
• Palm Beach Heart Group P a
• Palm Beach Internal Medicine
• Palm Beach Neurology
• Palm Beach Orthopaedic Institute PA

• Surgery Physician in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.