Organization Active NPI

South County Urology PA

  • Urology Physician
  • Delray Beach, FL
National Provider Identifier
1144270109
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME 46004 Issued in FL
Legal business name
SOUTH COUNTY UROLOGY PA
Practice address
5258 Linton Blvd
Suite 203
Delray Beach, FL 33484-6540
Phone
(561) 495-7570
Fax
(561) 496-7074
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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

Authorized official

Name
Mark D Ziffer, MD
Title
Owner
Phone
(561) 495-7570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X ME 46004 FL Primary

Addresses

Primary practice location

5258 Linton Blvd
Suite 203
Delray Beach, FL 33484-6540

Mailing address

5258 Linton Blvd
Suite 203
Delray Beach, FL 33484-6540
Phone (561) 495-7570

Other identifiers 3

IdentifierTypeStateIssuer
9682429OtherFLGHI
21423OtherFLBLUE CROSS BLUE SHIELD
DG5614OtherFLRAILROAD MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313452800000",
    "number": "1144270109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5258 LINTON BLVD",
            "address_2": "SUITE 203",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846540",
            "telephone_number": "561-495-7570",
            "fax_number": "561-496-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5258 LINTON BLVD",
            "address_2": "SUITE 203",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846540",
            "telephone_number": "561-495-7570",
            "fax_number": "561-496-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COUNTY UROLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2011-08-16",
        "status": "A",
        "authorized_official_last_name": "ZIFFER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-495-7570",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "FL",
            "license": "ME 46004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "9682429",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "21423",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG5614",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; 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.