Surgery Specialists of South Broward, Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SURGERY SPECIALISTS OF SOUTH BROWARD, INC

Practice address

1951 SW 172ND Ave
#411
Miramar, FL 33029-5593

Phone

(954) 450-1617

Fax

(954) 450-8584

NPI assigned

Oct 13, 2006

Organization subpart

No

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

Authorized official

Name

Lewis Gold, MD

Title

President

Phone

(954) 838-2371

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 4

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

• John W. Chang, MD

  • Surgery Physician
  • Coral Gables, FL
  • NPI 1720057052
  NPD (past)
• Nathalie Hidalgo, PA-C

  • Physician Assistant
  • Hollywood, FL
  • NPI 1619946365
  NPD (past)
• Jeffrey Paul Snow, MD

  • Colon & Rectal Surgery Physician
  • Hollywood, FL
  • NPI 1518926807
  NPD (past)
• Cheryl Lynn Yelverton, MD

  • Surgical Oncology Physician
  • Plantation, FL
  • NPI 1760441000

  Surgery

  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205926300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 451985",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333451985",
            "telephone_number": "954-838-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 SW 172ND AVE",
            "address_2": "#411",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295593",
            "telephone_number": "954-450-1617",
            "fax_number": "954-450-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY SPECIALISTS OF SOUTH BROWARD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-838-2371",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "74691",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunshine Lab Services LLC
• Sunshine Mobile Imaging Inc.
• Eileen Nikko Super, MD
• Supreme Home Health Care, LLC
• Suremedical Services LLC
• Surgicare of Miramar LLC
• Yamilia Suros
• Survivors Healing Through Outreach, Prevention, and Empowerment
• Susan B. Anthony Center, Inc.
• Susan B. Anthony Center, Inc.

• Surgery Physician in Miramar, FL
• Providers in Miramar, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.