Organization Active NPI

Medical Center of Pompano, Inc.

  • Family Medicine Physician
  • Pompano Beach, FL
National Provider Identifier
1447426226
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS0005965 Issued in FL
Legal business name
MEDICAL CENTER OF POMPANO, INC.
Practice address
1800 N Federal Hwy
Suite 104
Pompano Beach, FL 33062-1034
Phone
(954) 782-0010
Fax
(954) 781-2139
NPI assigned
May 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
William Jensen, DO
Title
Physician
Phone
(954) 782-0010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS0005965 FL Primary

Addresses

Primary practice location

1800 N Federal Hwy
Suite 104
Pompano Beach, FL 33062-1034

Mailing address

1800 N Federal Hwy
Suite 104
Pompano Beach, FL 33062-1034
Phone (954) 782-0010

National Provider Directory

National Provider Directory

Locations

1800 N Federal Hwy
Ste 104
Pompano Beach, FL 33062
Phone (954) 782-0010

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1447426226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 N FEDERAL HWY",
            "address_2": "SUITE 104",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621034",
            "telephone_number": "954-782-0010",
            "fax_number": "954-781-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N FEDERAL HWY",
            "address_2": "SUITE 104",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330621034",
            "telephone_number": "954-782-0010",
            "fax_number": "954-781-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER OF POMPANO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "954-782-0010",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS0005965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.