Organization Active NPI

General Surgical Associates

  • Surgery Physician
  • Tamarac, FL
National Provider Identifier
1801820345
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME43407 Issued in FL
Legal business name
GENERAL SURGICAL ASSOCIATES
Practice address
7225 N University Dr
Suite 104
Tamarac, FL 33321-2908
Phone
(954) 341-9771
Fax
(954) 341-9772
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Authorized official

Name
Dr. Judith M Johnson, M.D.NPI 1639155633
Title
President
Phone
(954) 341-9771

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
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X ME43407 FL Primary

Addresses

Primary practice location

7225 N University Dr
Suite 104
Tamarac, FL 33321-2908

Mailing address

7225 N University Dr
Suite 104
Tamarac, FL 33321-2908
Phone (954) 341-9771

Other identifiers 3

IdentifierTypeStateIssuer
61544OtherFLBLUE CROSS BLUE SHIELD
208508OtherFLAVMED
0072480OtherFLGHI

National Provider Directory

National Provider Directory

Locations

983 N University Dr
Coral Springs, FL 33071
Phone (561) 549-9090

3100 Coral Hills Dr
Ste 301
Coral Springs, FL 33065
Phone (954) 227-4353

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1801820345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7225 N UNIVERSITY DR",
            "address_2": "SUITE 104",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212908",
            "telephone_number": "954-341-9771",
            "fax_number": "954-341-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7225 N UNIVERSITY DR",
            "address_2": "SUITE 104",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212908",
            "telephone_number": "954-341-9771",
            "fax_number": "954-341-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-341-9771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME43407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "61544",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "208508",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0072480",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.