Southeast University Physicians PLLC

Primary specialty

Surgical Critical Care PhysicianTaxonomy code 2086S0102X

Legal business name

SOUTHEAST UNIVERSITY PHYSICIANS PLLC

Practice address

2560 Rca Blvd Ste 106
Palm Beach Gardens, FL 33410-3336

Phone

(561) 799-9559

Fax

(561) 799-9577

NPI assigned

Feb 27, 2019

Last updated

Jul 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathryn Noland

Title

Practice Manager

Phone

(561) 799-9559

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Faris K Azar, MD

  • Surgery Physician
  • Palm Beach Gardens, FL
  • NPI 1215279625
  Medicare reassignment Care Compare group NPD
• Robert Borrego, M.D.

  • Surgery Physician
  • Palm Beach Gardens, FL
  • NPI 1821191826
  Medicare reassignment Care Compare group NPD
• Dimiter Hristov, M.D.

  • Surgery Physician
  • Riviera Beach, FL
  • NPI 1659384600
  Medicare reassignment NPD
• Ibrahim Ihsan Jabbour, MD, MPH

  • Trauma Surgery Physician
  • Palm Beach Gardens, FL
  • NPI 1174886386
  Medicare reassignment NPD
• Adam Joseph Mann, MD

  • Trauma Surgery Physician
  • Mangonia Park, FL
  • NPI 1225520901
  Medicare reassignment NPD
• Matthew Marken Ramseyer, M.D.

  • Surgery Physician
  • Palm Beach Gardens, FL
  • NPI 1699067736
  Medicare reassignment NPD
• Mario Rueda, MD

  • Surgery Physician
  • Palm Beach Gardens, FL
  • NPI 1972745438
  Medicare reassignment NPD
• Jorge Alberto Vega Jr., M.D.

  • Surgical Critical Care Physician
  • Nashville, TN
  • NPI 1265708432

  FL, Surgery

  Medicare reassignment NPD

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1710444583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 RCA BLVD STE 106",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103336",
            "telephone_number": "561-799-9559",
            "fax_number": "561-799-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 RCA BLVD STE 106",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103336",
            "telephone_number": "561-799-9559",
            "fax_number": "561-799-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST UNIVERSITY PHYSICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-27",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "NOLAND",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "561-799-9559"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Florida Lower Extremity Institute LLC
• South Florida Oral & Maxillofacial Surgery
• South Florida Orthopaedics & Sports Medicine, PA (Atlantis Orthopaedics)
• South Florida Radiation Oncology LLC
• South Florida Surgical Specialists, LLC
• Melissa Spaeth
• Christal Elise Spears
• Special Kids Speech, LLC
• Specialized Aesthetics, P.a. (Hass Plastic Surgery)
• Spectrum Recovery Services, LLC

• Surgical Critical Care Physician in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Surgical Critical Care Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.