Carl Stanton Citron, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

ME40007 Issued in FL

Practice address

9236 NW 18TH St
Plantation, FL 33322-5230

Phone

(954) 609-0589

Fax

(954) 474-4481

NPI assigned

Oct 11, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1275885477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9236 NW 18TH ST",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225230",
            "telephone_number": "954-609-0589",
            "fax_number": "954-474-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9236 NW 18TH ST",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225230",
            "telephone_number": "954-609-0589",
            "fax_number": "954-474-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CITRON",
        "first_name": "CARL",
        "middle_name": "STANTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-11",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME40007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0488429-01",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aurel Ciobanu, DMD
• Jerry O Ciocon, M.D.
• Debora Cipriani Dias Deon, MD
• Teresa Cisar, RPH
• Josefina J Cisneros, LMHC
• City of Plantation
• City Surgery Center Inc
• Chatiela Clark, EDS
• John Rushford Clarke
• Koreen Alanna Clarke

• Anatomic Pathology & Clinical Pathology Physician in Plantation, FL
• Providers in Plantation, FL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.