Unified Medical Group, LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

ME70734 Issued in FL

Legal business name

UNIFIED MEDICAL GROUP, LLC

Practice address

3731 Fau Blvd
Boca Raton, FL 33431-6412

Phone

(561) 300-2410

Fax

(866) 263-4302

NPI assigned

May 29, 2014

Organization subpart

Yes

Parent organization

UNIFIED PHYSICIAN MANAGEMENT, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Kenneth Alan Konsker, MDNPI 1154309771

Title

Co-Ceo

Phone

(561) 300-2410

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth A Konsker, MD

  • Obstetrics & Gynecology Physician
  • Boca Raton, FL
  • NPI 1154309771
  NPD Authorized official

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1093127714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3731 FAU BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316412",
            "telephone_number": "561-300-2410",
            "fax_number": "866-263-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3731 FAU BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316412",
            "telephone_number": "561-300-2410",
            "fax_number": "866-263-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIFIED MEDICAL GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIFIED PHYSICIAN MANAGEMENT, LLC",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "KONSKER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CO-CEO",
        "authorized_official_telephone_number": "561-300-2410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME70734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Boca Raton, FL
• Providers in Boca Raton, 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 May 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.