Paul Wigoda, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

ME0076810 Issued in FL

Practice address

1404 E Broward Blvd
Fort Lauderdale, FL 33301-2138

Phone

(954) 463-7088

Fax

(954) 463-8766

NPI assigned

Nov 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Paul Wigoda, MD, PA

  • Ambulatory Surgical Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1629374269
  NPD (past) Authorized official
• South Florida PRS, LLC

  • Plastic Surgery Physician
  • Fort Lauderdale, FL
  • NPI 1356179121
  Authorized official Same address or phone

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073684551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 E BROWARD BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012138",
            "telephone_number": "954-463-7088",
            "fax_number": "954-463-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 E BROWARD BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012138",
            "telephone_number": "954-463-7088",
            "fax_number": "954-463-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGODA",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME0076810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Wiegmann, OD
• B Harvey Wiener, DDS., MSCD., FRCD(C)
• Erica Wigdor, D.O.
• Laure'-Ann Wiggan-Lampart, M.D.
• David Wiggins, MD
• Emily Marie Wilbar, OTR/L
• Shelby Lynn Wilbourn, M.D.
• Heather Nicole Wilbur, APRN
• Chelsea Wilcocks, PSYD
• Eric Christopher Wilkerson, MD

• Plastic Surgery Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Plastic Surgery Physician in Florida

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.