Active NPI
Asha Medical Clinic
- Internal Medicine Physician
- Lauderhill, FL
National Provider Identifier
1306070974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ASHA MEDICAL CLINIC
- Practice address
- 5440 N University Dr
Lauderhill, FL 33351-5005 - Phone
- (954) 747-9897
- Fax
- (954) 747-9879
- NPI assigned
- May 11, 2009
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Mini Thomas, MD
- Title
- President
- Phone
- (954) 747-9897
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Lauderhill, FL
- NPI 1184684656
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091119000390 | FL | Part B Supplier - Clinic/Group Practice | 9537207113 |
Receives reassigned benefits from 1 practitioner Practice locations: Tamarac, FL |
National Provider Directory
Locations
5440 N University Dr
Lauderhill, FL 33351
Phone (954) 282-8253
7710 NW 71st Ct
Ste 302
Tamarac, FL 33321
Phone (954) 722-2400
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
5440 N University Dr
Lauderhill, FL 33351-5005
Mailing address
5440 N University Dr
Lauderhill, FL 33351-5005
Phone (954) 747-9897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 13, 2013.
{
"created_epoch": "1242000000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1379030400000",
"number": "1306070974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5440 N UNIVERSITY DR",
"city": "LAUDERHILL",
"state": "FL",
"postal_code": "333515005",
"telephone_number": "954-747-9897",
"fax_number": "954-747-9879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5440 N UNIVERSITY DR",
"city": "LAUDERHILL",
"state": "FL",
"postal_code": "333515005",
"telephone_number": "954-747-9897",
"fax_number": "954-747-9879"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASHA MEDICAL CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-11",
"last_updated": "2013-09-13",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "MINI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-747-9897",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lauderhill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.