NPIMap

Organization Active NPI

George P Azar Jr MD PA

  • Pulmonary Disease Physician
  • Fort Lauderdale, FL
National Provider Identifier
1396961397
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME56075 Issued in FL
Legal business name
GEORGE P AZAR JR MD PA
Practice address
6405 N Federal Hwy
Suite 300B
Ft Lauderdale, FL 33308-1412
Phone
(954) 771-6047
Fax
(954) 771-0760
NPI assigned
Apr 18, 2007
Last updated
Oct 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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

Authorized official

Name
Dr. George P Azar Jr., MDNPI 1104888429
Title
President
Phone
(954) 771-6047

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME56075 FL Primary

Addresses

Primary practice location

6405 N Federal Hwy
Suite 300B
Ft Lauderdale, FL 33308-1412

Mailing address

6405 N Federal Hwy
Suite 300B
Ft Lauderdale, FL 33308-1412
Phone (954) 771-6047

Other identifiers 1

IdentifierTypeStateIssuer
051568000MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070409000537 FL Part B Supplier - Clinic/Group Practice 0648374207 Receives reassigned benefits from 2 practitioners
Practice locations: Fort Lauderdale, FL

National Provider Directory

National Provider Directory

Locations

6333 N Federal Hwy
Ste 270
Ft Lauderdale, FL 33308
Phone (954) 771-6047

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1396961397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 N FEDERAL HWY",
            "address_2": "SUITE 300B",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081412",
            "telephone_number": "954-771-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 N FEDERAL HWY",
            "address_2": "SUITE 300B",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081412",
            "telephone_number": "954-771-6047",
            "fax_number": "954-771-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE P AZAR JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "AZAR",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-771-6047",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME56075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051568000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.

Verify at the official NPI Registry.