Edward M. Coopersmith & Ronald J. Scott, M.D., PA.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

EDWARD M. COOPERSMITH & RONALD J. SCOTT, M.D., PA.

Practice address

5333 N Dixie Hwy
Suite 201
Oakland Park, FL 33334-3414

Phone

(954) 491-3440

Fax

(954) 491-8510

NPI assigned

Sep 8, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Nathan Coopersmith, M.B.A.

Title

Manager

Phone

(954) 491-3440

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1679567333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 N DIXIE HWY",
            "address_2": "SUITE 201",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333343414",
            "telephone_number": "954-491-3440",
            "fax_number": "954-491-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 N DIXIE HWY",
            "address_2": "SUITE 201",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333343414",
            "telephone_number": "954-491-3440",
            "fax_number": "954-491-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD M. COOPERSMITH & RONALD J. SCOTT, M.D., PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-08",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "COOPERSMITH",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-491-3440",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.B.A."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378001500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.