Organization Active NPI

Lords Medical Group

  • Physical Medicine & Rehabilitation Physician
  • Pompano Beach, FL
National Provider Identifier
1154917706
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
LORDS MEDICAL GROUP
Practice address
661 SW 3Rd Ave
Pompano Beach, FL 33060-8384
Phone
(954) 771-3685
Fax
(954) 771-3685
NPI assigned
Dec 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Authorized official

Name
Dr. Jeffrey Allen Middleton, D.C.
Title
President
Phone
(954) 771-3685

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

661 SW 3Rd Ave
Pompano Beach, FL 33060-8384

Mailing address

661 SW 3Rd Ave
Pompano Beach, FL 33060-8384
Phone (954) 771-3685

Other identifiers 1

IdentifierTypeStateIssuer
551532MedicaidFL

Other names 1

  • Lords Medical Group Doing business as

National Provider Directory

National Provider Directory

Locations

3077 E Commercial Blvd
Fort Lauderdale, FL 33308
Phone (954) 771-3685

NPI Registry JSON

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1154917706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 SW 3RD AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330608384",
            "telephone_number": "954-771-3685",
            "fax_number": "954-771-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 SW 3RD AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330608384",
            "telephone_number": "954-771-3685",
            "fax_number": "954-771-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORDS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-17",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-12",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-771-3685",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "551532",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lords Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lords Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.