Docta LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DOCTA LLC

Doing business as

Nousari Dermatology

Practice address

5200 S University Dr Ste 102a
Davie, FL 33328-5316

Phone

(754) 444-8503

Fax

(561) 907-4984

NPI assigned

Oct 8, 2018

Last updated

Oct 8, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

CARLOS H NOUSARI PAAs reported in NPPES

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

Authorized official

Name

Jessica Hegedus

Title

Office Manager/Billing Specialist

Phone

(754) 444-8503

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Nousari Dermatology Doing business as

Part of

Carlos H Nousari PA

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Carlos H Nousari PA

  • Dermatology Physician
  • Davie, FL
  • NPI 1518388156
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carlos H. Nousari, MD

  • Dermatopathology Physician
  • Pompano Beach, FL
  • NPI 1477538940

  Dermatology

  NPD (past)
• Francisco A Tausk, MD

  • Dermatology Physician
  • Rochester, NY
  • NPI 1235174251
  NPD (past)

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538956800000",
    "number": "1558836445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 S UNIVERSITY DR STE 102A",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333285316",
            "telephone_number": "754-444-8503",
            "fax_number": "561-907-4984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 S UNIVERSITY DR STE 102A",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333285316",
            "telephone_number": "754-444-8503",
            "fax_number": "561-907-4984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARLOS H NOUSARI PA",
        "enumeration_date": "2018-10-08",
        "last_updated": "2018-10-08",
        "status": "A",
        "authorized_official_last_name": "HEGEDUS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OFFICE MANAGER/BILLING SPECIALIST",
        "authorized_official_telephone_number": "754-444-8503"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1477538940",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "ME88101",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nousari Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tosha Dixon
• Elizabeth Dmeza
• Dmitry Byk MD PA
• Arianna Doblin
• Docmiallc (DOC, Detailed Orthopedic Care)
• Doctors Quality Billing Service Inc
• Tiana Dodd
• Jeff A Dolgan, RCEP
• Yender Dom, DCC
• Arianna Eneris Dominguez-Rodriguez

• Dermatology Physician in Davie, FL
• Providers in Davie, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; 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.