NPIMap

Organization Active NPI

Central Medical Group PA

  • Pulmonary Disease Physician
  • Tamarac, FL
National Provider Identifier
1306858352
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
CENTRAL MEDICAL GROUP PA
Practice address
7707 N University Dr
Suite 106
Tamarac, FL 33321-2950
Phone
(954) 722-4206
Fax
(954) 722-4226
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Sandra Zeiger
Title
Office Manager
Phone
(954) 720-7807

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

7707 N University Dr
Suite 106
Tamarac, FL 33321-2950

Mailing address

7707 N University Dr
Suite 106
Tamarac, FL 33321-2950
Phone (954) 722-4206

Other identifiers 2

IdentifierTypeStateIssuer
K34338OtherFLBCBS FLORIDA
K3421OtherFLMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070223000313 FL Part B Supplier - Clinic/Group Practice 3173625076 Receives reassigned benefits from 9 practitioners
Practice locations: Coral Springs, FL; Fort Lauderdale, FL; Margate, FL; Plantation, FL; Tamarac, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0960387Central Medical Group PA7707 N University Dr #107, Tamarac, FL 33321Certificate of waiverMay 6, 2027

National Provider Directory

National Provider Directory

Locations

2929 N University Dr
Ste 108
Coral Springs, FL 33065
Phone (954) 340-1992

7707 N University Dr
Ste 107
Tamarac, FL 33321
Phone (954) 722-4206

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1306858352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7707 N UNIVERSITY DR",
            "address_2": "SUITE 106",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212950",
            "telephone_number": "954-722-4206",
            "fax_number": "954-722-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7707 N UNIVERSITY DR",
            "address_2": "SUITE 106",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212950",
            "telephone_number": "954-722-4206",
            "fax_number": "954-722-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MEDICAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "ZEIGER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-720-7807"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FLORIDA",
            "identifier": "K34338",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "K3421",
            "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 Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.