Carmi Y Stadlan, M.D. P.a.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

ME69654 Issued in FL

Legal business name

CARMI Y STADLAN, M.D. P.A.

Practice address

122A JFK Dr
Lake Worth, FL 33462-6606

Phone

(561) 969-3795

Fax

(561) 969-3771

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Carmi Y Stadlan, MDNPI 1396788451

Title

President

Phone

(561) 969-3795

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Cardiac Surgery of the Palm Beaches Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Carmi Y Stadlan, MD

  • Specialist
  • Atlantis, FL
  • NPI 1396788451
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1740236165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122A JFK DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334626606",
            "telephone_number": "561-969-3795",
            "fax_number": "561-969-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122A JFK DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334626606",
            "telephone_number": "561-969-3795",
            "fax_number": "561-969-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMI Y STADLAN, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "STADLAN",
        "authorized_official_first_name": "CARMI",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-969-3795",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME69654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379642600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Q0054",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardiac Surgery of the Palm Beaches",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yaimelis Careaga Ramos
• Caren L. Sutcliffe
• Brooke Carico, OTR
• Caring for Your Health, LLC
• Caring Hearts Ahs Inc
• Caroline J. Connelly,Ms/CCC-SLP,PC;PA
• Joanna M Carpenter, LMT
• Janete Carr
• Clarita Esther Carrillo
• Jesse James Carroll, RRT

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.