Vivienne Veronica Tai, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0049631 Issued in FL

Practice address

4101 NW 4TH St
Suite 109
Plantation, FL 33317-2850

Phone

(954) 792-6900

NPI assigned

Mar 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oscar Mendez MD PA

  • Family Medicine Physician
  • Lauderhill, FL
  • NPI 1407048994

  Family Medicine, FL

  Medicare reassignment NPD
• Hospitalis10 Inc

  • Hospitalist Physician
  • Lauderdale Lakes, FL
  • NPI 1619469483
  NPD
• Central Medical Group PA

  • Pulmonary Disease Physician
  • Tamarac, FL
  • NPI 1306858352

  Family Medicine

  NPD (past)
• Medical Pulmonary Associates PA

  • Cardiovascular Disease Physician
  • Coral Springs, FL
  • NPI 1093571127

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194842435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 NW 4TH ST",
            "address_2": "SUITE 109",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172850",
            "telephone_number": "954-792-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 NW 4TH ST",
            "address_2": "SUITE 109",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172850",
            "telephone_number": "954-792-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAI",
        "first_name": "VIVIENNE",
        "middle_name": "VERONICA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0049631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• T.I.O Medical Intervention LLC
• Inesa Tabash, PHARMD
• Jean Paul Tabet, MD
• Jolmar Taborda Porfidio
• Jason Tache, D.O.
• Tailwind Care Provider Group, P.a.
• Take Shape Plastic Surgery PA
• Take Shape Surgery Center LLC
• Abanoub Nagy Zaky Takla, M.B.B.CH
• Javier Talamo II, D.O.

• All providers in Plantation, FL
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.