Organization Active NPI

Four Gates Oriental Medicine Inc

  • Acupuncturist
  • Fort Lauderdale, FL
National Provider Identifier
1619038338
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP 1706 Issued in FL
Legal business name
FOUR GATES ORIENTAL MEDICINE INC
Practice address
1189 SW 26TH Ave
Ft Lauderdale, FL 33312-3017
Phone
(954) 326-7310
Fax
(954) 797-0331
NPI assigned
Dec 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Claire E Fitch, ACUP PHYSICIANNPI 1023179157
Title
President
Phone
(954) 326-7310

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AP 1706 FL Primary

Addresses

Primary practice location

1189 SW 26TH Ave
Ft Lauderdale, FL 33312-3017

Mailing address

5311 SW 90TH Ave
Cooper City, FL 33328-5112
Phone (954) 326-7310

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619038338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 SW 90TH AVE",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333285112",
            "telephone_number": "954-326-7310",
            "fax_number": "954-680-6728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1189 SW 26TH AVE",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333123017",
            "telephone_number": "954-326-7310",
            "fax_number": "954-797-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR GATES ORIENTAL MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FITCH",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-326-7310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ACUP PHYSICIAN"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 1706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.