Active NPI
Segundo Jaime Gonzalez Escola, M.D.
- Surgical Oncology Physician
- Plantation, FL
National Provider Identifier
1508024167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- ME113213
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 113213 | FL | MD | Hospice and Palliative Medicine (Surgery) Physician |
| 23058 | PR | MD | Surgical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medasans | Surgery | Current | Accepting new patients |
| South Florida Surgical Specialists, LLC | Surgery | Current | 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
- 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.
-
- Surgery Physician
- Boca Raton, FL
- NPI 1467262717
-
- Surgery Physician
- Coral Springs, FL
- NPI 1336895283
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.