Organization Active NPI

Samer Elhakim MD PA

  • Family Medicine Physician
  • Ft Lauderdale, FL
National Provider Identifier
1174895361
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SAMER ELHAKIM MD PA
Practice address
1318 SE 17TH St
Ft Lauderdale, FL 33316-1708
Phone
(954) 200-6001
Fax
(954) 239-1562
NPI assigned
Feb 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Authorized official

Name
Samer Elhakim, MDNPI 1396720710
Title
President
Phone
(954) 200-6001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1318 SE 17TH St
Ft Lauderdale, FL 33316-1708

Mailing address

251 174TH St
Apt. 1211
Sunny Isles Beach, FL 33160-3300
Phone (305) 200-6001

National Provider Directory

National Provider Directory

Locations

1318 SE 17th St
Ft Lauderdale, FL 33316
Phone (954) 200-6001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1174895361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 174TH ST",
            "address_2": "APT. 1211",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603300",
            "telephone_number": "305-200-6001",
            "fax_number": "305-239-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 SE 17TH ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161708",
            "telephone_number": "954-200-6001",
            "fax_number": "954-239-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMER ELHAKIM MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-02",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "ELHAKIM",
        "authorized_official_first_name": "SAMER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-200-6001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.