NPIMap

Organization Active NPI

General Surgical Associates Inc

  • Surgery Physician
  • Tamarac, FL
National Provider Identifier
1740460450
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
GENERAL SURGICAL ASSOCIATES INC
Practice address
7225 N University Dr
Suite 104
Tamarac, FL 33321-2908
Phone
(954) 341-9771
NPI assigned
Nov 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Judith Johnson, MD
Title
Owner
Phone
(954) 341-9771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X FL Primary

Addresses

Primary practice location

7225 N University Dr
Suite 104
Tamarac, FL 33321-2908

Mailing address

7225 N University Dr
Suite 104
Tamarac, FL 33321-2908
Phone (954) 341-9771

Other identifiers 1

IdentifierTypeStateIssuer
370652400MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Advanced General Surgery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1740460450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7225 N UNIVERSITY DR",
            "address_2": "SUITE 104",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212908",
            "telephone_number": "954-341-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7225 N UNIVERSITY DR",
            "address_2": "SUITE 104",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212908",
            "telephone_number": "954-341-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL SURGICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-341-9771",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370652400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.