Active NPI
Timothy James Exarhos, MD
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Fort Lauderdale, FL
National Provider Identifier
1255484804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- License
- MEOO60513
- Practice address
- 2699 Stirling Rd
Fort Lauderdale, FL 33312-6517 - Phone
- (954) 966-9696
- Fax
- (954) 987-9796
- NPI assigned
- Jan 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | MEOO60513 | FL | Primary |
Addresses
Primary practice location
2699 Stirling Rd
Fort Lauderdale, FL 33312-6517
Mailing address
3812 Churchill Downs Dr
Davie, FL 33328-1365
Phone (954) 966-8451
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MEOO60513 | FL | MD | Sports Medicine (Neuromusculoskeletal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255484804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3812 CHURCHILL DOWNS DR",
"city": "DAVIE",
"state": "FL",
"postal_code": "333281365",
"telephone_number": "954-966-8451",
"fax_number": "954-987-9796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2699 STIRLING RD",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333126517",
"telephone_number": "954-966-9696",
"fax_number": "954-987-9796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EXARHOS",
"first_name": "TIMOTHY",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "204C00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine, Sports Medicine",
"state": "FL",
"license": "MEOO60513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.