Individual provider Active NPI

Pachavit Kasemsap, MD

  • Surgery Physician
  • Margate, FL
National Provider Identifier
1518960053
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME87867 Issued in FL
Practice address
2825 N State Road 7 Ste 300
Margate, FL 33063-5737
Phone
(954) 975-0360
Fax
(954) 975-3465
NPI assigned
May 28, 2005
Last updated
Jun 18, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME87867 FL Primary

Addresses

Primary practice location

2825 N State Road 7 Ste 300
Margate, FL 33063-5737

Mailing address

2825 N State Road 7 Ste 300
Margate, FL 33063-5737
Phone (954) 975-0360

Other identifiers 1

IdentifierTypeStateIssuer
269607000MedicaidFL

Other names 1

  • Dr. Pachavit Kasemsap Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME87867FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bulldog Emergency Physicians Past Accepting new patients
Old Moultrie Surgical Center Inc Past Accepting new patients
Osler Medical Inc Past Accepting new patients
Emcare Physician Providers, Inc. Past Accepting new patients
Emcare Physician Providers, Inc. Past Accepting new patients
Surgical Associates of North Florida LLC Surgery Past Accepting new patients
Vista Emergency Physicians LLC Past Accepting new patients
Eduardo Dieguez Jr MD PA Past Accepting new patients
South Florida Surgical Specialists LLC Surgery Past Accepting new patients

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1117238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276819200000",
    "number": "1518960053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 N STATE ROAD 7 STE 300",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635737",
            "telephone_number": "954-975-0360",
            "fax_number": "954-975-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 N STATE ROAD 7 STE 300",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635737",
            "telephone_number": "954-975-0360",
            "fax_number": "954-975-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASEMSAP",
        "first_name": "PACHAVIT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-28",
        "last_updated": "2010-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME87867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269607000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PACHAVIT",
            "last_name": "KASEMSAP",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Margate, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; 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.