Individual provider Active NPI

Marc Dauer, MD

  • Vascular Surgery Physician
  • Fort Lauderdale, FL
National Provider Identifier
1255759601
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME144906 Issued in FL
Practice address
2307 W Broward Blvd Ste 200
Fort Lauderdale, FL 33312-1420
Phone
(954) 906-0591
NPI assigned
Apr 2, 2014
Last updated
Aug 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Vascular Surgery Physician 2086S0129X ME144906 FL Primary

Addresses

Primary practice location

2307 W Broward Blvd Ste 200
Fort Lauderdale, FL 33312-1420

Mailing address

2307 W Broward Blvd Ste 200
Fort Lauderdale, FL 33312-1420
Phone (954) 906-0591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210709002297 FL Practitioner - Vascular SurgeryPractitioner - General Surgery 9335488311 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
University of Miami, LM Miller School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Broward Hospital DistrictGroup PAC ID 8123927373, 659 clinicians

Practice addresses (Care Compare)

1150 N 35TH Ave
Hollywood, FL 33021-5430

1951 SW 172ND Ave
Suite 404
Miramar, FL 33029-5614
Phone (954) 844-4664

2301 N University Dr
Pembroke Pines, FL 33024-3617
Phone (954) 265-1125

601 N Flamingo Rd
Suite 202
Pembroke Pines, FL 33028-1008
Phone (954) 265-4664

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)21
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District CurrentSince Jan 1, 2023 Accepting new patients
Steward Medical Group, Inc. CurrentSince Aug 1, 2021 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 1, 2021 Accepting new patients
South Broward Hospital District Vascular Surgery CurrentSince Jan 1, 2023 Accepting new patients
Tenet Florida Physician Services LLC CurrentSince Apr 2, 2021 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Apr 2, 2021 Accepting new patients
South Broward Hospital District Past Accepting new patients

Locations

3650 NW 82nd Ave
Ste 502
Doral, FL 33166
Phone (305) 594-9333

2307 W Broward Blvd
Ste 200
Ft Lauderdale, FL 33312
Phone (954) 792-1010

1150 N 35th Ave
Ste 460
Hollywood, FL 33021
Phone (954) 265-1125

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

Networks

  • HealthSun Health Plans Network

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1255759601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 W BROWARD BLVD STE 200",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121420",
            "telephone_number": "954-906-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 W BROWARD BLVD STE 200",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121420",
            "telephone_number": "954-906-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUER",
        "first_name": "MARC",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-02",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME144906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.