NPIMap

Organization Active NPI

East Fort Lauderdale ASC LLC

Doing business as Ft. Lauderdale Heart & Rhythm Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Fort Lauderdale, FL
National Provider Identifier
1740771708
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
EAST FORT LAUDERDALE ASC LLC
Doing business as
Ft. Lauderdale Heart & Rhythm Surgery Center
Practice address
1925 NE 45TH St Ste 100
Ft Lauderdale, FL 33308-5158
Phone
(954) 651-9847
Fax
(954) 990-6191
NPI assigned
May 25, 2018
Last updated
Nov 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Authorized official

Name
Gregg Miller, MDNPI 1942273560
Title
Sr. Vice President
Phone
(610) 644-8900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1925 NE 45TH St Ste 100
Ft Lauderdale, FL 33308-5158

Mailing address

Dept #6032
PO Box 4417
Houston, TX 77210-4417
Phone (610) 644-8900

Other names 1

  • Ft. Lauderdale Heart & Rhythm Surgery Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190530000700 FL Part B Supplier - Ambulatory Surgical Center 8224371588 Practice locations: Fort Lauderdale, FL

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Fort Lauderdale Heart Rhythm Surgery CenterCCN 10C0001647
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1925 NE 45th St
Ft Lauderdale, FL 33308
Phone (386) 263-3020

1925 NE 45th St
Ste 100
Ft Lauderdale, FL 33308
Phone (954) 651-9847

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1740771708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT #6032",
            "address_2": "PO BOX 4417",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104417",
            "telephone_number": "610-644-8900",
            "fax_number": "610-537-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 NE 45TH ST STE 100",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085158",
            "telephone_number": "954-651-9847",
            "fax_number": "954-990-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST FORT LAUDERDALE ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-25",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GREGG",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT",
        "authorized_official_telephone_number": "610-644-8900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ft. Lauderdale Heart & Rhythm Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.