Individual provider Active NPI

Jory M. Fine, DO

  • Emergency Medicine Physician
  • Coral Springs, FL
National Provider Identifier
1740259050
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS7078 Issued in FL
Practice address
3000 Coral Hills Dr
Emergency Dept
Coral Springs, FL 33323
Phone
(954) 838-2371
NPI assigned
Mar 17, 2006
Last updated
May 1, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS7078 FL Primary

Addresses

Primary practice location

3000 Coral Hills Dr
Emergency Dept
Coral Springs, FL 33323

Mailing address

1501 NW 49TH St., Ste. 140
Ft Lauderdale, FL 33309
Phone (954) 714-6300

Other identifiers 1

IdentifierTypeStateIssuer
256325800MedicaidFL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20071210000050 FL Practitioner - Emergency Medicine 4284723511 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS7078FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Jun 23, 2014 Accepting new patients
Phoenix Emergency Medicine of Broward LLC Emergency Medicine CurrentSince Sep 1, 2007 Accepting new patients
Phoenix Emergency Medicine of Broward LLC Emergency Medicine CurrentSince Sep 1, 2007 Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine Past Accepting new patients
Naples Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations

201 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 786-6400

6401 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 776-8500

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

3114 Croasdaile Dr
#200
Durham, NC 27705
Phone (877) 751-1157

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1740259050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 NW 49TH ST., STE. 140",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "33309",
            "telephone_number": "954-714-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 CORAL HILLS DR",
            "address_2": "EMERGENCY DEPT",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "33323",
            "telephone_number": "954-838-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINE",
        "first_name": "JORY",
        "middle_name": "M.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS7078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256325800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.