NPIMap

Organization Active NPI

Paul Wigoda, MD, PA

  • Ambulatory Surgical Clinic/Center
  • Fort Lauderdale, FL
National Provider Identifier
1629374269
Registry record updated Jan 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
ME0076810 Issued in FL
Legal business name
PAUL WIGODA, MD, PA
Practice address
1404 E Broward Blvd
Fort Lauderdale, FL 33301-2138
Phone
(954) 463-7088
Fax
(954) 463-8766
NPI assigned
Jan 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2011

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

Authorized official

Name
Dr. Paul Wigoda, MDNPI 1073684551
Title
Medical Director
Phone
(954) 463-7088

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
Ambulatory Surgical Clinic/Center 261QA1903X ME0076810 FL Primary

Addresses

Primary practice location

1404 E Broward Blvd
Fort Lauderdale, FL 33301-2138

Mailing address

1404 E Broward Blvd
Fort Lauderdale, FL 33301-2138
Phone (954) 463-7088

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.

NPI Registry JSON

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

{
    "created_epoch": "1296345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296345600000",
    "number": "1629374269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 E BROWARD BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012138",
            "telephone_number": "954-463-7088",
            "fax_number": "954-463-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 E BROWARD BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012138",
            "telephone_number": "954-463-7088",
            "fax_number": "954-463-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL WIGODA, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-30",
        "last_updated": "2011-01-30",
        "status": "A",
        "authorized_official_last_name": "WIGODA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "954-463-7088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "ME0076810",
            "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 Jan 30, 2011; 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.