NPIMap

Organization Active NPI

Donald C. Marcus DO, P.a.

Doing business as Sunrise Pediatrics

  • Pediatrics Physician
  • N Miami Beach, FL
National Provider Identifier
1215185376
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
OS0003857 Issued in FL
Legal business name
DONALD C. MARCUS DO, P.A.
Doing business as
Sunrise Pediatrics
Practice address
17101 NE 19TH Ave
202
N Miami Beach, FL 33162-3159
Phone
(305) 944-8638
Fax
(305) 944-0940
NPI assigned
Sep 3, 2008
Last updated
Sep 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Authorized official

Name
Donald Carey Marcus, D.O.
Title
Owner
Phone
(954) 584-6930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X OS0003857 FL Primary

Addresses

Primary practice location

17101 NE 19TH Ave
202
N Miami Beach, FL 33162-3159

Mailing address

6766 W Sunrise Blvd
101
Plantation, FL 33313-6072
Phone (954) 584-6930

Other identifiers 1

IdentifierTypeStateIssuer
374120602MedicaidFL

Other names 1

  • SUNRISE PEDIATRICS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Donald C Marcus DO PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1215185376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6766 W SUNRISE BLVD",
            "address_2": "101",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333136072",
            "telephone_number": "954-584-6930",
            "fax_number": "954-584-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17101 NE 19TH AVE",
            "address_2": "202",
            "city": "N MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623159",
            "telephone_number": "305-944-8638",
            "fax_number": "305-944-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD C. MARCUS DO, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "MARCUS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "CAREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-584-6930",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "OS0003857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374120602",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNRISE PEDIATRICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in N Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.