Gordon George Souaid, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME44324 Issued in FL

Practice address

1740 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-4611

Phone

(305) 933-3170

Fax

(954) 456-5019

NPI assigned

May 20, 2006

Last updated

Nov 20, 2014By 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 1

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

GastroenterologyAlso: Internal Medicine

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

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.

• Gordon G Souaid MD P L

  • Gastroenterology Physician
  • Aventura, FL
  • NPI 1326351511
  Authorized official Same address or phone
• Venture Gastroenterology LLC

  • Gastroenterology Physician
  • North Miami Beach, FL
  • NPI 1578810743
  NPD
• South Florida Cardiology Associates LLC

  • Cardiovascular Disease Physician
  • Sarasota, FL
  • NPI 1649704651
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1740234988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 E HALLANDALE BEACH BLVD",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094611",
            "telephone_number": "305-933-3170",
            "fax_number": "954-456-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 E HALLANDALE BEACH BLVD",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094611",
            "telephone_number": "305-933-3170",
            "fax_number": "954-456-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUAID",
        "first_name": "GORDON",
        "middle_name": "GEORGE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME44324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046223300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Solomon
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• Gurbachan Pal Soni, M.D.
• Sharon Ann Sootin, AP,LMT
• Ivette Soto, RPH
• South Broward Brace & Surgical Supports Inc
• South Florida Home Health Care Agency, LLC
• South Florida Interventional Spine Associates, LLC
• South Florida Leaders in Audiology, Inc. (Advanced AuDiology of South Florida)
• South Florida Neurology Center PA

• Gastroenterology Physician in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; 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.