Organization Active NPI

4Kus Consulting Group, Inc.

  • Family Medicine Physician
  • Sunrise, FL
National Provider Identifier
1386925196
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
4KUS CONSULTING GROUP, INC.
Practice address
4800 N Hiatus Rd
Sunrise, FL 33351-7919
Phone
(954) 990-8082
Fax
(954) 990-8084
NPI assigned
Sep 7, 2011
Last updated
Sep 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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

Authorized official

Name
Mr. William C McCormick Jr., MBA
Title
Ceo
Phone
(954) 990-8082

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X NU
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

4800 N Hiatus Rd
Sunrise, FL 33351-7919

Mailing address

4800 N Hiatus Rd
Sunrise, FL 33351-7919
Phone (954) 990-8082

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1386925196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N HIATUS RD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517919",
            "telephone_number": "954-990-8082",
            "fax_number": "954-990-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 N HIATUS RD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517919",
            "telephone_number": "954-990-8082",
            "fax_number": "954-990-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4KUS CONSULTING GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-07",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-990-8082",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.