Organization Active NPI

Matthew L Carr MD PA

Doing business as Diagnostic Cardiology Associates

  • Interventional Cardiology Physician
  • Lauderdale Lakes, FL
National Provider Identifier
1760579429
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
MATTHEW L CARR MD PA
Doing business as
Diagnostic Cardiology Associates
Practice address
3001 NW 49 Ave
Suite #100
Lauderdale Lakes, FL 33313
Phone
(954) 731-1101
Fax
(954) 915-1129
NPI assigned
Oct 6, 2006
Last updated
Jan 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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

Authorized official

Name
Ms. Jennifer L Milthaler
Title
Office Manager
Phone
(954) 731-1101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X FL Primary

Addresses

Primary practice location

3001 NW 49 Ave
Suite #100
Lauderdale Lakes, FL 33313

Mailing address

3001 NW 49 Ave
Suite #100
Lauderdale Lakes, FL 33313
Phone (954) 731-1101

Other identifiers 1

IdentifierTypeStateIssuer
0444979-00MedicaidFL

Other names 1

  • Diagnostic Cardiology Associates Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1760579429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 NW 49 AVE",
            "address_2": "SUITE #100",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "33313",
            "telephone_number": "954-731-1101",
            "fax_number": "954-915-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 NW 49 AVE",
            "address_2": "SUITE #100",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "33313",
            "telephone_number": "954-731-1101",
            "fax_number": "954-915-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW L CARR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "MILTHALER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-731-1101",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0444979-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diagnostic Cardiology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lauderdale Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.