Organization Active NPI

Erdman and Madden LLC

  • Internal Medicine Physician
  • Ft Lauderdale, FL
National Provider Identifier
1457522674
Registry record updated Sep 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME79511 Issued in FL
Legal business name
ERDMAN AND MADDEN LLC
Practice address
1130 Bayview Dr
Ft Lauderdale, FL 33304-2505
Phone
(954) 563-3158
Fax
(954) 563-5874
NPI assigned
Mar 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2009

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

Authorized official

Name
Cindy Keating
Title
Office Manager
Phone
(954) 563-3158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X ME79511 FL Primary

Addresses

Primary practice location

1130 Bayview Dr
Ft Lauderdale, FL 33304-2505

Mailing address

1130 Bayview Dr
Ft Lauderdale, FL 33304-2505
Phone (954) 563-3158

Other identifiers 1

IdentifierTypeStateIssuer
CK2070OtherFLRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

1130 Bayview Dr
Ft Lauderdale, FL 33304
Phone (954) 563-3158

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1205539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254096000000",
    "number": "1457522674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 BAYVIEW DR",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333042505",
            "telephone_number": "954-563-3158",
            "fax_number": "954-563-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 BAYVIEW DR",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333042505",
            "telephone_number": "954-563-3158",
            "fax_number": "954-563-5874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERDMAN AND MADDEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-15",
        "last_updated": "2009-09-28",
        "status": "A",
        "authorized_official_last_name": "KEATING",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-563-3158"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME79511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK2070",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; 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.