Serge Gardere, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS11912 Issued in FL

Practice address

1201 NE 26TH St Ste 109
Wilton Manors, FL 33305-1206

Phone

(954) 381-7334

Fax

(888) 809-1631

NPI assigned

Jan 18, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Family PracticeAlso: Osteopathic Manipulative Medicine

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Osteopathic Medical Arts Center of South Florida LLC

  • Family Medicine Physician
  • Hollywood, FL
  • NPI 1316412836

  Neuromusculoskeletal Medicine & Omm

  Medicare reassignment NPD Authorized official
• Yvonne R S Sherrer MD PA

  • Rheumatology Physician
  • Oakland Park, FL
  • NPI 1912056110
  NPD (past)

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

• Holy Cross Hospital Inc

  • Internal Medicine Physician
  • Ft. Lauderdale, FL
  • NPI 1467401877

  Hospital

  Care Compare affiliation
• Holy Cross Hospital Inc

  • General Acute Care Hospital
  • Ft Lauderdale, FL
  • NPI 1639197395
  Care Compare affiliation
• Holy Cross Hospital, Inc.

  • Urgent Care Clinic/Center
  • Boca Raton, FL
  • NPI 1376953125

  Hospital

  Care Compare affiliation
• Holy Cross Hospital, Inc.

  • Urgent Care Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1386985190

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1275838542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 NE 26TH ST STE 109",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051206",
            "telephone_number": "954-381-7334",
            "fax_number": "888-809-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NE 26TH ST STE 109",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051206",
            "telephone_number": "954-381-7334",
            "fax_number": "888-809-1631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 Washington St Ste 401",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330218249",
            "country_code": "US",
            "telephone_number": "954-955-6622",
            "fax_number": "888-809-1631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDERE",
        "first_name": "SERGE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-18",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "FL",
            "license": "OS11912",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS11912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher F Fuzy, MS,RD,LD
• Michael Moses Gans, LCSW
• Raymond L Garassino, LCSW
• Jaime Garces, D.M.D.
• Mary Jean Garcia, LCSW
• Tyler Gargas
• Gay & Lesbian Community Center of Greater Fort Lauderdale, Inc.
• Sujen A Gentles, LPN
• Marlo Gentner, MSW
• Get It Strait Chiro Inc

• Family Medicine Physician in Wilton Manors, FL
• Providers in Wilton Manors, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.