Organization Active NPI

Sissi E Cossio MD PA

  • Pediatric Endocrinology Physician
  • Coral Springs, FL
National Provider Identifier
1255591467
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
ME94631 Issued in FL
Legal business name
SISSI E COSSIO MD PA
Practice address
8130 Royal Palm Blvd
Suite 102
Coral Springs, FL 33065-5703
Phone
(954) 510-0285
Fax
(954) 510-0286
NPI assigned
Jun 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Authorized official

Name
Ana Lopez
Title
Consultant
Phone
(954) 605-4391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0205X ME94631 FL Primary

Addresses

Primary practice location

8130 Royal Palm Blvd
Suite 102
Coral Springs, FL 33065-5703

Mailing address

8130 Royal Palm Blvd
Suite 102
Coral Springs, FL 33065
Phone (954) 510-0285

Other identifiers 2

IdentifierTypeStateIssuer
000861000MedicaidFL
91036OtherFLBC/BS OF FLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1255591467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8130 ROYAL PALM BLVD",
            "address_2": "SUITE 102",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "33065",
            "telephone_number": "954-510-0285",
            "fax_number": "954-510-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8130 ROYAL PALM BLVD",
            "address_2": "SUITE 102",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655703",
            "telephone_number": "954-510-0285",
            "fax_number": "954-510-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISSI E COSSIO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2011-09-13",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "954-605-4391"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "FL",
            "license": "ME94631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000861000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF FLA",
            "identifier": "91036",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.