Prestige Physicians LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS11016 Issued in FL

Legal business name

PRESTIGE PHYSICIANS LLC

Practice address

4701 N Federal Hwy Ste A21
Ft Lauderdale, FL 33308-4608

Phone

(954) 770-0611

Fax

(954) 491-3930

NPI assigned

Nov 14, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Kira Fenton, DONPI 1740579945

Title

President

Phone

(954) 771-0611

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

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

• Kira Brooke Fenton, D.O

  • Internal Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1740579945
  Medicare reassignment Care Compare group NPD Authorized official
• Cristina Elena Savu, DO

  • Internal Medicine Physician
  • Ft Lauderdale, FL
  • NPI 1437448867
  Medicare reassignment Care Compare group NPD
• Ashley Danielle Baldyga

  • Family Nurse Practitioner
  • Fort Lauderdale, FL
  • NPI 1336710821
  Medicare reassignment
• Rajiv R Chokshi, M.D.

  • Internal Medicine Physician
  • Ft Lauderdale, FL
  • NPI 1962513234
  NPD (past)

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1699217281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 N FEDERAL HWY STE A21",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084608",
            "telephone_number": "954-770-0611",
            "fax_number": "954-491-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 N FEDERAL HWY STE A21",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084608",
            "telephone_number": "954-770-0611",
            "fax_number": "954-491-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-14",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "FENTON",
        "authorized_official_first_name": "KIRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-771-0611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS11016",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS11264",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prescriptrx Pharmacy LLC
• Paul George Preste, M.D.
• Prestige Cardiology Associates LLC
• Prestige Clinicians -Laboratory LLC
• Prestige Obstetrics and Gynecology Associates LLC
• Prestige Recovery and Suboxone Clinic LLC
• Prestige Sports and Regenerative Medicine LLC
• Xaviera Preston, CNA
• Prevail Healthcare of FL
• Anthony P Previte, M.D.

• Internal Medicine Physician in Ft Lauderdale, FL
• Providers in Ft 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 Jan 17, 2019; 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.