Alison Clarke Desouza, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

42359 Issued in FL

Practice address

3100 Coral Hills Dr
Suite 207
Coral Springs, FL 33065-4137

Phone

(954) 341-9777

Fax

(954) 341-7354

NPI assigned

Jul 27, 2006

Sex

Female

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vitalmd Group Holding LLC

  • Obstetrics & Gynecology Physician
  • Miami, FL
  • NPI 1871572032
  Medicare reassignment NPD

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337126400000",
    "number": "1780608232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 CORAL HILLS DR",
            "address_2": "SUITE 207",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654137",
            "telephone_number": "954-341-9777",
            "fax_number": "954-341-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CORAL HILLS DR",
            "address_2": "SUITE 207",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654137",
            "telephone_number": "954-341-9777",
            "fax_number": "954-341-7354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESOUZA",
        "first_name": "ALISON",
        "middle_name": "CLARKE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2012-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "42359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069447900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dependable Senior Care LLC
• Dermatology Consultants of S FL PA
• Dermatopathology Laboratory Pascual Abenoza MD LLC
• Astride Desario, APRN
• Shenida Desir
• Jessica Desouza, DPT
• Kennya Monique Despuzeau
• Edward S. Deutsch, M.D.
• Dexafit Broward
• Maan Dhanjal, DC

• Obstetrics & Gynecology Physician in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.