Robert C Siudmak, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

ME40226 Issued in FL

Practice address

3801 Hollywood Blvd
Suite 250
Hollywood, FL 33021-6758

Phone

(954) 961-8303

Fax

(954) 961-8307

NPI assigned

Oct 25, 2007

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

Specialty

Obstetrics/Gynecology

Education

New York Medical College, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mira Womens Health and MidwiferyGroup PAC ID 5890235519, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038
• Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281
• Memorial Hospital Miramar Hospital, Miramar, FL, CCN 100285

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: robert.siudmak.1@31769.direct.athenahealth.com
• Direct secure messaging: robert.siudmak.1@14176.direct.athenahealth.com

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.

• Mira Women's Health and Midwifery

  • Gynecology Physician
  • Boca Raton, FL
  • NPI 1427894880
  Medicare reassignment Care Compare group NPD
• Robert C Siudmak & Associates MD PA

  • Obstetrics & Gynecology Physician
  • Hollywood, FL
  • NPI 1669495842
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• South Broward Hospital District

  dba Memorial Hospital West

  • General Acute Care Hospital
  • Pembroke Pines, FL
  • NPI 1134102080
  Care Compare affiliation
• South Broward Hospital District

  dba Memorial Hospital Miramar

  • General Acute Care Hospital
  • Miramar, FL
  • NPI 1326021197
  Care Compare affiliation
• South Broward Hospital District

  dba Memorial Regional Hospital

  • General Acute Care Hospital
  • Hollywood, FL
  • NPI 1780667923
  Care Compare affiliation

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1073792180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 HOLLYWOOD BLVD",
            "address_2": "SUITE 250",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216758",
            "telephone_number": "954-961-8303",
            "fax_number": "954-961-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 HOLLYWOOD BLVD",
            "address_2": "SUITE 250",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216758",
            "telephone_number": "954-961-8303",
            "fax_number": "954-961-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIUDMAK",
        "first_name": "ROBERT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME40226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sahajpreet Singh
• Daniel Singleton
• Shannon Ronel Singleton, ATC,LAT
• Leonor Sink Roach, AU.D.
• Deanna Siroonian, DPT
• Michel Sixto
• SJT Corp (Americana Discount Pharmacy)
• Janet M Skelly, HIS
• Carlos Sklaver, MD
• Scott Skorupa, M.D.

• Obstetrics & Gynecology Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.