Organization Active NPI

Gothrig Healthcare Services LLC

  • General Practice Physician
  • Lauderdale Lakes, FL
National Provider Identifier
1104485754
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
GOTHRIG HEALTHCARE SERVICES LLC
Practice address
2331 N State Road 7 Ste 207
Lauderdale Lakes, FL 33313-3772
Phone
(954) 530-6558
Fax
(954) 769-1576
NPI assigned
Jun 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

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

Authorized official

Name
Eglintine Rigaud, APRN, PHD
Title
President
Phone
(954) 530-6558

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Women's Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LW0102X

Addresses

Primary practice location

2331 N State Road 7 Ste 207
Lauderdale Lakes, FL 33313-3772

Mailing address

2862 Bellarosa Cir
Royal Palm Beach, FL 33411-1462
Phone (757) 613-5943

National Provider Directory

National Provider Directory

Locations

2331 N State Road 7
Ste 207
Lauderdale Lakes, FL 33313
Phone (954) 530-6558

NPI Registry JSON

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559865600000",
    "number": "1104485754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2862 BELLAROSA CIR",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111462",
            "telephone_number": "757-613-5943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 N STATE ROAD 7 STE 207",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333133772",
            "telephone_number": "954-530-6558",
            "fax_number": "954-769-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOTHRIG HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A",
        "authorized_official_last_name": "RIGAUD",
        "authorized_official_first_name": "EGLINTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-530-6558",
        "authorized_official_credential": "APRN, PHD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.