Individual provider Active NPI

Russell Andrew Ficara, DC

  • Chiropractor
  • Hollywood, FL
National Provider Identifier
1265438840
Registry record updated Aug 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH5976 Issued in FL
Practice address
2500 Hollywood Blvd
Suire 409
Hollywood, FL 33020-6615
Phone
(954) 920-5020
Fax
(954) 966-6765
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH5976 FL Primary

Addresses

Primary practice location

2500 Hollywood Blvd
Suire 409
Hollywood, FL 33020-6615

Mailing address

PO Box 814385
Hollywood, FL 33081-4385
Phone (954) 920-5020

Other identifiers 1

IdentifierTypeStateIssuer
380-296-500MedicaidFL

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

Practice roles

OrganizationSpecialtyStatusNew patients
Martinez Health Inc. Chiropractor Past Accepting new patients
Health and Wellness Associates, Inc. Chiropractor Past Accepting new patients
Calm Matters, Inc Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377216000000",
    "number": "1265438840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 814385",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330814385",
            "telephone_number": "954-920-5020",
            "fax_number": "954-966-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HOLLYWOOD BLVD",
            "address_2": "SUIRE 409",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206615",
            "telephone_number": "954-920-5020",
            "fax_number": "954-966-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICARA",
        "first_name": "RUSSELL",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2013-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380-296-500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; 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.