Organization Active NPI

John E Roberts III MD PLLC

  • Surgery Physician
  • Ft Lauderdale, FL
National Provider Identifier
1326263252
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
JOHN E ROBERTS III MD PLLC
Practice address
5700 N Federal Hwy
Suite 1
Ft Lauderdale, FL 33308-2600
Phone
(954) 491-6400
Fax
(954) 771-8835
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
Kathleen Marie Tremblay, MED. ASST.
Title
Financial Manager
Phone
(954) 491-6400

Specialties & licenses 1

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

Addresses

Primary practice location

5700 N Federal Hwy
Suite 1
Ft Lauderdale, FL 33308-2600

Mailing address

5700 N Federal Hwy
Suite 1
Ft Lauderdale, FL 33308-2600
Phone (954) 491-6400

Other identifiers 1

IdentifierTypeStateIssuer
00563OtherFLBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1326263252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 N FEDERAL HWY",
            "address_2": "SUITE 1",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333082600",
            "telephone_number": "954-491-6400",
            "fax_number": "954-771-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 N FEDERAL HWY",
            "address_2": "SUITE 1",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333082600",
            "telephone_number": "954-491-6400",
            "fax_number": "954-771-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN E ROBERTS III MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "TREMBLAY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "FINANCIAL  MANAGER",
        "authorized_official_telephone_number": "954-491-6400",
        "authorized_official_credential": "MED. ASST."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00563",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.