Sean Arvindh Sukal, M.D., PH.D., P.a.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

ME98259 Issued in FL

Legal business name

SEAN ARVINDH SUKAL, M.D., PH.D., P.A.

Practice address

2900 North Military Trail
Suite 243
Boca Raton, FL 33431

Phone

(561) 245-8877

Fax

(561) 322-3920

NPI assigned

Aug 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Sean Arvindh Sukal, M.D., PH.D.NPI 1568538783

Title

President

Phone

(561) 241-8027

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sean A Sukal, M.D.

  • MOHS-Micrographic Surgery Physician
  • Boca Raton, FL
  • NPI 1568538783
  Medicare reassignment Care Compare group NPD Authorized official
• Lori A Fordham-Bass, ARNP

  • Nurse Practitioner
  • Boca Raton, FL
  • NPI 1659577526
  Medicare reassignment Care Compare group NPD
• Robb Elliott Wilentz, MD

  • Dermatopathology (Pathology) Physician
  • Aventura, FL
  • NPI 1033115209
  Medicare reassignment Care Compare group NPD
• Jonelle K McDonnell, MD

  • Dermatology Physician
  • Cuyahoga Falls, OH
  • NPI 1003844937

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1770739203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 NORTH MILITARY TRAIL",
            "address_2": "SUITE 243",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33431",
            "telephone_number": "561-245-8877",
            "fax_number": "561-322-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 NORTH MILITARY TRAIL",
            "address_2": "SUITE 243",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33431",
            "telephone_number": "561-245-8877",
            "fax_number": "561-322-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN ARVINDH SUKAL, M.D., PH.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-15",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "SUKAL",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "ARVINDH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-241-8027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME98259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• MOHS-Micrographic Surgery Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• MOHS-Micrographic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.