Jerome R Obed, DO

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

OS9463 Issued in FL

Practice address

500 SE 15TH St
Suite #108
Fort Lauderdale, FL 33316-1952

Phone

(954) 990-6591

Fax

(954) 990-6524

NPI assigned

Mar 1, 2006

Last updated

Aug 20, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Emergency Medicine

Education

University of Florida College of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jerome R Obed D.O.,P.a.

  dba Broward Dermatology and Cosmetic Specialists

  • Dermatology Physician
  • Fort Lauderdale, FL
  • NPI 1063760502
  Medicare reassignment NPD Authorized official
• KND Development 59 LLC

  • Hospitalist Physician
  • St Petersburg, FL
  • NPI 1245569870
  Medicare reassignment NPD
• Phoenix Emergency Medicine of Broward LLC

  • Emergency Medicine Physician
  • Coral Springs, FL
  • NPI 1871542969
  Medicare reassignment NPD
• Broward Dermatology

  • Medical Specialty Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1841555786
  NPD Authorized official
• KND Development 59, LLC

  • Hospitalist Physician
  • Hollywood, FL
  • NPI 1295064384
  NPD
• Phoenix Emergency Medicine of Broward LLC

  • Emergency Medicine Physician
  • Deerfield Beach, FL
  • NPI 1407805591
  NPD
• KND Development 59, LLC

  dba Specialty Hospitals Broken Arrow

  • Hospitalist Physician
  • Broken Arrow, OK
  • NPI 1922950823
  NPD

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471651200000",
    "number": "1720055585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SE 15TH ST",
            "address_2": "SUITE #108",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161952",
            "telephone_number": "954-990-6591",
            "fax_number": "954-990-6524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SE 15TH ST",
            "address_2": "SUITE #108",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161952",
            "telephone_number": "954-990-6591",
            "fax_number": "954-990-6524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBED",
        "first_name": "JEROME",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2016-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS9463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274900900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "OS 9463",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Zaydoon Asaad Obeid, MD
• Percival Obias, P.T.
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• Ruben Ocana Colon
• Occupational Health Centers of the Southwest P.a. (Concentra Medical Centers)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.