Organization Active NPI

General Surgical Consultants Inc

  • Surgery Physician
  • Tamarac, FL
National Provider Identifier
1295763209
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
GENERAL SURGICAL CONSULTANTS INC
Practice address
7401 N University Dr Ste 103
Tamarac, FL 33321-2933
Phone
(954) 341-9771
Fax
(954) 341-9772
NPI assigned
Jun 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Authorized official

Name
Judith Mitchell Johnson, MD
Title
Owner
Phone
(954) 341-9771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

7401 N University Dr Ste 103
Tamarac, FL 33321-2933

Mailing address

7401 N University Dr Ste 103
Tamarac, FL 33321-2933
Phone (954) 341-9771

Other identifiers 1

IdentifierTypeStateIssuer
370652400MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1295763209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 N UNIVERSITY DR STE 103",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212933",
            "telephone_number": "954-341-9771",
            "fax_number": "954-341-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 N UNIVERSITY DR STE 103",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212933",
            "telephone_number": "954-341-9771",
            "fax_number": "954-341-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL SURGICAL CONSULTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-341-9771",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370652400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.