Individual provider Active NPI

Fred Imre Ehrenstein, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Hollywood, FL
National Provider Identifier
1316287485
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
ME 23979 Issued in FL
Practice address
1110 S Southlake Dr
Hollywood, FL 33019-1900
Phone
(954) 609-5572
NPI assigned
Feb 26, 2013
Last updated
Feb 26, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME 23979 FL Primary

Addresses

Primary practice location

1110 S Southlake Dr
Hollywood, FL 33019-1900

Mailing address

1110 S Southlake Dr
Hollywood, FL 33019-1900
Phone (954) 609-5572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 23979FLMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

NPI Registry JSON

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1316287485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 S SOUTHLAKE DR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330191900",
            "telephone_number": "954-609-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 S SOUTHLAKE DR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330191900",
            "telephone_number": "954-609-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHRENSTEIN",
        "first_name": "FRED",
        "middle_name": "IMRE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-26",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME 23979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.