Organization Active NPI

James J Garner MD PA

  • Urology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1679634687
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
JAMES J GARNER MD PA
Practice address
4800 NE 20TH Ter
Suite 207
Ft Lauderdale, FL 33308-4510
Phone
(954) 229-9560
Fax
(954) 229-9564
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Authorized official

Name
James J Garner, M.D.NPI 1962563965
Title
Owner
Phone
(954) 229-9560

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
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

4800 NE 20TH Ter
Suite 207
Ft Lauderdale, FL 33308-4510

Mailing address

4800 NE 20TH Ter
Suite 207
Ft Lauderdale, FL 33308-4510
Phone (954) 229-9560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120809000268 FL Part B Supplier - Clinic/Group Practice 5395991236 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Lauderdale, FL; Ft. Lauderdale, FL

National Provider Directory

National Provider Directory

Locations

4800 NE 20th Ter
Ste 207
Ft Lauderdale, FL 33308
Phone (954) 229-9560

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": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1679634687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 NE 20TH TER",
            "address_2": "SUITE 207",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084510",
            "telephone_number": "954-229-9560",
            "fax_number": "954-229-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 NE 20TH TER",
            "address_2": "SUITE 207",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084510",
            "telephone_number": "954-229-9560",
            "fax_number": "954-229-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES J GARNER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-229-9560",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "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 Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.