Jerry O Ciocon, M.D.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

ME0054854 Issued in FL

Practice address

320 S State Road 7
Suite 300
Plantation, FL 33317-3717

Phone

(954) 451-3241

Fax

(754) 206-4332

NPI assigned

Apr 5, 2006

Last updated

Jan 5, 2016By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Geriatrics and Adult Medicine, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Plantation, FL
  • NPI 1669831558
  Authorized official Same address or phone
• Cleveland Clinic Florida a Nonprofit Corporation

  • Clinic/Center
  • Weston, FL
  • NPI 1215989298
  NPD (past)

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1750343679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 S STATE ROAD 7",
            "address_2": "SUITE 300",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333173717",
            "telephone_number": "954-451-3241",
            "fax_number": "754-206-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 S STATE ROAD 7",
            "address_2": "SUITE 300",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333173717",
            "telephone_number": "954-451-3241",
            "fax_number": "754-206-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIOCON",
        "first_name": "JERRY",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME0054854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063913300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana Cifuentes Kirste, PHARMD
• Eric Ferdinand Ciliberti, M.D.
• Caleb Cimeus
• Luke Gavigan Cimino, DO
• Aurel Ciobanu, DMD
• Debora Cipriani Dias Deon, MD
• Teresa Cisar, RPH
• Josefina J Cisneros, LMHC
• Carl Stanton Citron, MD
• City of Plantation

• Geriatric Medicine (Internal Medicine) Physician in Plantation, FL
• Providers in Plantation, FL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.