NPIMap

Individual provider Active NPI

James W Fletcher, MD

  • Plastic Surgery Physician
  • Fort Lauderdale, FL
National Provider Identifier
1679546402
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME126152 Issued in FL
Practice address
2320 NE 9TH St Ste 300
Fort Lauderdale, FL 33304-3579
Phone
(954) 563-4500
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X ME126152 FL
Plastic and Reconstructive Surgery Physician 2086S0122X 44541 MN
Plastic and Reconstructive Surgery Physician 2086S0122X 44200-020 WI
Plastic Surgery Physician 208200000X ME126152 FL Primary

Addresses

Primary practice location

2320 NE 9TH St Ste 300
Fort Lauderdale, FL 33304-3579

Mailing address

2320 NE 9TH St Ste 300
Fort Lauderdale, FL 33304-3579
Phone (954) 563-4500

Other identifiers 1

IdentifierTypeStateIssuer
327501900MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170609002222 FL Practitioner - Plastic and Reconstructive Surgery 8022148246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Saint Louis University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabclinics Pta IncGroup PAC ID 0547237497, 209 clinicians
Vanguard Plastic Surgery PLLCGroup PAC ID 5193030252, 7 clinicians

Practice addresses (Care Compare)

1817 E Commercial Blvd
Ft Lauderdale, FL 33308-3767
Phone (954) 836-8980

2320 NE 9TH St
Suite 300
Fort Lauderdale, FL 33304-3579

2320 NE 9TH St
Suite 300
Fort Lauderdale, FL 33304-3590
Phone (954) 536-4500

Hospital & facility affiliations

  • Broward Health Medical Center Hospital, Fort Lauderdale, FL, CCN 100039
  • Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME126152FLMDPlastic Surgery Physician
44200-020WIMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vanguard Plastic Surgery LLC Plastic Surgery CurrentSince Oct 22, 2016 Accepting new patients
Michael C. Cheung, M.D., P.a. Plastic Surgery PastSince Jul 24, 2022 Accepting new patients

Locations

2320 NE 9th St
Ste 300
Ft Lauderdale, FL 33304
Phone (954) 536-4500

Interoperability endpoints

  • Direct secure messaging: james.fletcher@3844.securemail.prognocis.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1679546402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 NE 9TH ST STE 300",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043579",
            "telephone_number": "954-563-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 NE 9TH ST STE 300",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043579",
            "telephone_number": "954-563-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "JAMES",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "FL",
            "license": "ME126152",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MN",
            "license": "44541",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "WI",
            "license": "44200-020",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME126152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "327501900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.