George Waked, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME33761 Issued in FL

Practice address

7421 N University Dr
Suite 214
Tamarac, FL 33321-2977

Phone

(954) 721-0700

Fax

(954) 722-5857

NPI assigned

Aug 18, 2006

Last updated

Dec 14, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GEDBCA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• G H Waked MD Inc

  • Internal Medicine Physician
  • Tamarac, FL
  • NPI 1972849263
  Authorized official Same address or phone
• West Broward Internal Medicine LLC

  • Internal Medicine Physician
  • Tamarac, FL
  • NPI 1871765727
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355443200000",
    "number": "1407960198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7421 N UNIVERSITY DR",
            "address_2": "SUITE 214",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212977",
            "telephone_number": "954-721-0700",
            "fax_number": "954-722-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7421 N UNIVERSITY DR",
            "address_2": "SUITE 214",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212977",
            "telephone_number": "954-721-0700",
            "fax_number": "954-722-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKED",
        "first_name": "GEORGE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2012-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME33761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000376586500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonmarly Villarroel Garcia
• Vitality Rehab, LLC
• Jerry Voltaire
• Bharti Wadhwa, RPT
• Allan Howard Wagner, RPH
• Wal-Mart Stores East LP (Walmart Pharmacy 10-2930)
• Najla Walfall
• Walgreen Co (Walgreens #04483)
• Walgreen Co (Walgreens #05796)
• Walgreen Co (Walgreens #04484)

• Internal Medicine Physician in Tamarac, FL
• Providers in Tamarac, 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 Dec 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.