Cypress Creek Medical Center,Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0041535 Issued in FL

Legal business name

CYPRESS CREEK MEDICAL CENTER,INC

Practice address

912 NE 62ND St
Fort Lauderdale, FL 33334-4110

Phone

(954) 771-3113

Fax

(954) 771-2856

NPI assigned

Feb 22, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Avtar Sandhu, M.D

Title

President

Phone

(954) 771-3113

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Sherbaz Mann, MD

  • Hospitalist Physician
  • Miami, FL
  • NPI 1164046496
  Medicare reassignment NPD
• Shivtaj Mann, DO

  • Medical Oncology Physician
  • Fort Myers, FL
  • NPI 1871949883

  Internal Medicine

  NPD

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1699048546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 NE 62ND ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333344110",
            "telephone_number": "954-771-3113",
            "fax_number": "954-771-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 NE 62ND ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333344110",
            "telephone_number": "954-771-3113",
            "fax_number": "954-771-2856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS CREEK MEDICAL CENTER,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "SANDHU",
        "authorized_official_first_name": "AVTAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-771-3113",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0041535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cutting Edge Medical GR
• Claire Cuza Brizuela
• Cva Consulting Inc. (World Eyeglasses Optical)
• Zhaklina Cvetkovski
• Aleksandra Cvjeticanin, PHARMD
• Cypress Creek MRI, LLC
• Cypress Creek Outpatient Surgical Center, LLC
• Michael Thomas Cyrus, RPH
• Cytas Corp. (avon manor)
• Jeanette Czarnik

• Internal Medicine Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.