Elliot M Wortzel MD PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME22208 Issued in FL

Legal business name

ELLIOT M WORTZEL MD PA

Practice address

201 NW 82ND Ave
#305
Plantation, FL 33324-7808

Phone

(954) 370-1053

NPI assigned

Oct 31, 2008

Last updated

Aug 16, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elliot M Wortzel, MD

Title

President

Phone

(954) 473-5304

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1144473323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 NW 82ND AVE",
            "address_2": "#305",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333247808",
            "telephone_number": "954-370-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NW 82ND AVE",
            "address_2": "#305",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333247808",
            "telephone_number": "954-370-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOT M WORTZEL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-31",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "WORTZEL",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-473-5304",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME22208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "100007820",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0351971",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Plantation, FL
• Providers in Plantation, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.