Organization Active NPI

Joseph T Horgan MD PA

  • Medical Specialty Clinic/Center
  • Pembroke Pines, FL
National Provider Identifier
1558534867
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
ME40264 Issued in FL
Legal business name
JOSEPH T HORGAN MD PA
Practice address
603 N Flamingo Rd
358
Pembroke Pines, FL 33028-1023
Phone
(954) 438-9800
Fax
(954) 438-7544
NPI assigned
Apr 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Dr. Joseph Thomas Horgan, MD
Title
President/Ceo
Phone
(954) 438-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X ME40264 FL Primary

Addresses

Primary practice location

603 N Flamingo Rd
358
Pembroke Pines, FL 33028-1023

Mailing address

603 N Flamingo Rd
358
Pembroke Pines, FL 33028-1023
Phone (954) 438-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080709000348 FL Part B Supplier - Clinic/Group Practice 1254403199 Receives reassigned benefits from 3 practitioners
Practice locations: Hollywood, FL; Miramar, FL; Pembroke Pines, FL

National Provider Directory

National Provider Directory

Locations

603 N Flamingo Rd
Ste 357
Pembroke Pnes, FL 33028
Phone (954) 438-9800

Practitioners & affiliated clinicians

Practitioners 3

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": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1558534867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 N FLAMINGO RD",
            "address_2": "358",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281023",
            "telephone_number": "954-438-9800",
            "fax_number": "954-438-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N FLAMINGO RD",
            "address_2": "358",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281023",
            "telephone_number": "954-438-9800",
            "fax_number": "954-438-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH T HORGAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "HORGAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "954-438-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME40264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.