Organization Active NPI

MD Healthcare Sunrise

  • General Practice Physician
  • Sunrise, FL
National Provider Identifier
1093484743
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MD HEALTHCARE SUNRISE
Practice address
4269 N Pine Island Rd
Sunrise, FL 33351-6044
Phone
(954) 578-0200
NPI assigned
Sep 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Authorized official

Name
Derwin Westerburger, CEO
Title
Owner
Phone
(786) 229-9733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

4269 N Pine Island Rd
Sunrise, FL 33351-6044

Mailing address

304 Indian Trce Ste 636
Weston, FL 33326-2996
Phone (954) 578-0200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1093484743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 INDIAN TRCE STE 636",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333262996",
            "telephone_number": "954-578-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4269 N PINE ISLAND RD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516044",
            "telephone_number": "954-578-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD HEALTHCARE SUNRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A",
        "authorized_official_last_name": "WESTERBURGER",
        "authorized_official_first_name": "DERWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-229-9733",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.