Individual provider Active NPI

Segundo Jaime Gonzalez Escola, M.D.

  • Surgical Oncology Physician
  • Plantation, FL
National Provider Identifier
1508024167
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
ME113213 Issued in FL
Practice address
201 NW 82ND Ave Ste 305
Plantation, FL 33324-1855
Phone
(754) 200-1617
Fax
(954) 726-0874
NPI assigned
May 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME113213 FL
Hospice and Palliative Medicine (Surgery) Physician 2086H0002X ME 113213 FL
Surgical Oncology Physician 2086X0206X 23058 PR
Surgical Oncology Physician 2086X0206X ME113213 FL Primary

Addresses

Primary practice location

201 NW 82ND Ave Ste 305
Plantation, FL 33324-1855

Mailing address

304 Indian Trce
Weston, FL 33326-2996
Phone (754) 200-1617

Other practice location 1

Calle S#1 Urbanizacion Villa Los Santos
Arecibo, PR 00612-3112
Phone (939) 739-4717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 113213FLMDHospice and Palliative Medicine (Surgery) Physician
23058PRMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medasans Surgery Current Accepting new patients
South Florida Surgical Specialists, LLC Surgery CurrentSince Mar 6, 2022 Accepting new patients

Locations

10167 NW 31st St
Ste 203
Coral Springs, FL 33065
Phone (754) 200-1617

304 Indian Trce
Weston, FL 33326
Phone (954) 623-0029

Networks

  • HealthSun Health Plans Network

Interoperability endpoints

  • Direct secure messaging: segundo.gonzalezescola@hca4.eclinicaldirectplus.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1508024167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 INDIAN TRCE",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333262996",
            "telephone_number": "754-200-1617",
            "fax_number": "954-656-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NW 82ND AVE STE 305",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241855",
            "telephone_number": "754-200-1617",
            "fax_number": "954-726-0874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Calle S#1 Urbanizacion Villa Los Santos",
            "address_purpose": "LOCATION",
            "city": "Arecibo",
            "state": "PR",
            "postal_code": "006123112",
            "country_code": "US",
            "telephone_number": "939-739-4717",
            "fax_number": "954-656-0108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ ESCOLA",
        "first_name": "SEGUNDO",
        "middle_name": "JAIME",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME113213",
            "primary": false
        },
        {
            "code": "2086H0002X",
            "taxonomy_group": "",
            "desc": "Surgery, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "ME 113213",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "PR",
            "license": "23058",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "FL",
            "license": "ME113213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.