Emerald Hills Medical Center Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

DS2368 Issued in FL

Legal business name

EMERALD HILLS MEDICAL CENTER INC

Practice address

3990 Sheridan St Ste 101
Hollywood, FL 33021-3655

Phone

(954) 987-4455

Fax

(954) 964-7342

NPI assigned

Aug 4, 2006

Organization subpart

No

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

Authorized official

Name

Derwin Westerburger, OWNER

Title

Owner

Phone

(954) 578-0200

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 8

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

• Bryan Kenneth Lubansky, M.D.

  • General Practice Physician
  • Hollywood, FL
  • NPI 1972042950

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Gladys Mayte Nogueiras, M.D.

  • General Practice Physician
  • Hollywood, FL
  • NPI 1730578170
  Medicare reassignment Care Compare group NPD
• Renato Segura, MD, LAC.

  • General Practice Physician
  • Hollywood, FL
  • NPI 1356663306
  Medicare reassignment Care Compare group NPD
• Evelyn Bryon, M.D.

  • Internal Medicine Physician
  • The Villages, FL
  • NPI 1548767577
  Medicare reassignment NPD
• Martha R Chipi, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Sunrise, FL
  • NPI 1750412938
  Medicare reassignment NPD
• Jorge Enrique Fernandez, MD

  • General Practice Physician
  • Miami, FL
  • NPI 1649557059
  Medicare reassignment NPD
• Olga Maric, MD

  • Internal Medicine Physician
  • Crystal River, FL
  • NPI 1972581361
  Medicare reassignment NPD
• Gilbert R Weiner, DO

  • Family Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1134137128
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541376000000",
    "number": "1407864481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 SHERIDAN ST STE 101",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213655",
            "telephone_number": "954-987-4455",
            "fax_number": "954-964-7342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 SHERIDAN ST STE 101",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213655",
            "telephone_number": "954-987-4455",
            "fax_number": "954-964-7342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD HILLS MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2018-11-05",
        "status": "A",
        "authorized_official_last_name": "WESTERBURGER",
        "authorized_official_first_name": "DERWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-578-0200",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "DS1649",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME94228",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "DS2368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Embracing Recovery Comprehensive Counseling Center Inc
• Emc Services of Florida LLC
• Emdi Health LLC
• Emerald Hills Dental Center
• Emerald Hills Hand Therapy LLC
• Emerald Hills Pharmacy LLC
• Emerald Hills Physical Therapy Inc.
• Emerald Hills Rehabilitation Center Inc
• Emerald Park Alf LLC
• Emil Matei PA

• Internal Medicine Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.