Wael Z Tamim M D P a

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

ME83922 Issued in FL

Legal business name

WAEL Z TAMIM M D P A

Practice address

1625 SE 3Rd Ave
Suite 723
Fort Lauderdale, FL 33316-2521

Phone

(954) 616-1916

Fax

(954) 525-0808

NPI assigned

Apr 12, 2007

Last updated

Oct 14, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wael Z Tamim, MDNPI 1003894601

Title

President

Phone

(954) 616-1916

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Networks

• HealthSun Health Plans Network

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wael Z Tamim, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Fort Lauderdale, FL
  • NPI 1003894601
  Medicare reassignment Care Compare group NPD Authorized official
• Ignacio Jose Fuertes

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Fort Lauderdale, FL
  • NPI 1194439927
  Medicare reassignment Care Compare group
• Elizabeth Vukelich Austin, PA

  • Surgical Physician Assistant
  • Fort Lauderdale, FL
  • NPI 1598272726
  Medicare reassignment

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1275757205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 350483",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333350483",
            "telephone_number": "954-616-1916",
            "fax_number": "954-525-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 SE 3RD AVE",
            "address_2": "SUITE 723",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162521",
            "telephone_number": "954-616-1916",
            "fax_number": "954-525-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAEL Z TAMIM M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "TAMIM",
        "authorized_official_first_name": "WAEL",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-616-1916",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME83922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Wade-Infanzon, L.C.S.W.
• Jennifer Marie Wade, PA-C
• Thomas Wade, M.D.
• Carol Ann Wadelam
• Perminder Wadhwa, DDS
• Rajesh Waghmode
• Abby Elise Wagman, L.AC.
• Ahmed Ameen Waheed, MD
• Andrea Waisbord, RDN
• Wal-Mart Stores East LP (Walmart Pharmacy 10-2946)

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.