Fort Lauderdale Surgical Specialists P a

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME42654 Issued in FL

Legal business name

FORT LAUDERDALE SURGICAL SPECIALISTS P A

Practice address

4801 N Federal Hwy
Suite 101
Fort Lauderdale, FL 33308-4618

Phone

(954) 202-0242

Fax

(954) 202-0243

NPI assigned

Sep 29, 2006

Organization subpart

No

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

Authorized official

Name

Jonathan Scott Levine, MD

Title

Owner/ President

Phone

(954) 202-0242

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William John Dickerson II, MD

  • Gastroenterology Physician
  • Plantation, FL
  • NPI 1861448607
  NPD (past)
• Alan J Yesner, M.D.

  • Internal Medicine Physician
  • Ft Lauderdale, FL
  • NPI 1336182401
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1679665129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 N FEDERAL HWY",
            "address_2": "SUITE 101",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084618",
            "telephone_number": "954-202-0242",
            "fax_number": "954-202-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 N FEDERAL HWY",
            "address_2": "SUITE 101",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084618",
            "telephone_number": "954-202-0242",
            "fax_number": "954-202-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT LAUDERDALE SURGICAL SPECIALISTS P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "954-202-0242",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME42654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374861800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fort Lauderdale Physician Services, LLC
• Fort Lauderdale Psychiatric Services PA
• Fort Lauderdale Psychiatrists LLC
• Fort Lauderdale Psychology PA
• Fort Lauderdale Renal Dialysis LLC
• Fort Lauderdale Vascular Access, LLC
• Karrah S Fort, MSW, LCSW
• Theresa Redoble Fortaleza-Dawson, M.D.
• Blake Hugo Fortes, MD
• Anne M. M Fortunat Salomon

• Surgery Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.