Organization Active NPI

Ronald C Sirois MD PA

  • Urology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1225338403
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME42798 Issued in FL
Legal business name
RONALD C SIROIS MD PA
Practice address
4701 N Federal Hwy
Suite C 10
Fort Lauderdale, FL 33308-4608
Phone
(954) 771-7620
Fax
(954) 771-5665
NPI assigned
Oct 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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

Authorized official

Name
Carolyn Daly
Title
Officemanager
Phone
(954) 771-7620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X ME42798 FL Primary

Addresses

Primary practice location

4701 N Federal Hwy
Suite C 10
Fort Lauderdale, FL 33308-4608

Mailing address

4701 N Federal Hwy
Suite C 10
Fort Lauderdale, FL 33308-4608
Phone (954) 771-7620

Other identifiers 1

IdentifierTypeStateIssuer
1326072562OtherFLNPI 1

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101203001252 FL Part B Supplier - Clinic/Group Practice 7416144332 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Lauderdale, FL

National Provider Directory

National Provider Directory

Locations

4701 N Federal Hwy
Ste C
Ft Lauderdale, FL 33308
Phone (305) 771-7620

4701 N Federal Hwy
Ste C10
Ft Lauderdale, FL 33308
Phone (954) 771-7620

4701 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (916) 536-2584

Interoperability endpoints

  • Direct secure messaging: ronaldsirois@rsirmd.medalliesdirect.net

Practitioners & affiliated clinicians

Practitioners 2

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": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1225338403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 N FEDERAL HWY",
            "address_2": "SUITE C 10",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084608",
            "telephone_number": "954-771-7620",
            "fax_number": "954-771-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 N FEDERAL HWY",
            "address_2": "SUITE C 10",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084608",
            "telephone_number": "954-771-7620",
            "fax_number": "954-771-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD C SIROIS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "DALY",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OFFICEMANAGER",
        "authorized_official_telephone_number": "954-771-7620"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "FL",
            "license": "ME42798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1326072562",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.