NPIMap

Organization Active NPI

Donald C Marcus DO PA

Doing business as Sunrise Pediatrics

  • Pediatrics Physician
  • Plantation, FL
National Provider Identifier
1801903653
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
DONALD C MARCUS DO PA
Doing business as
Sunrise Pediatrics
Practice address
6766 W Sunrise Blvd
#101
Plantation, FL 33313
Phone
(954) 584-2900
Fax
(954) 584-0025
NPI assigned
Aug 25, 2006
Last updated
Jun 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Authorized official

Name
Dr. Donald C Marcus, DO
Title
Owner Physician
Phone
(954) 584-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

6766 W Sunrise Blvd
#101
Plantation, FL 33313

Mailing address

6766 W Sunrise Blvd
#101
Plantation, FL 33313
Phone (954) 584-2900

Other identifiers 1

IdentifierTypeStateIssuer
374120600MedicaidFL

Other names 1

  • Sunrise Pediatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Donald C Marcus DO PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1801903653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6766 W SUNRISE BLVD",
            "address_2": "#101",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33313",
            "telephone_number": "954-584-2900",
            "fax_number": "954-584-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6766 W SUNRISE BLVD",
            "address_2": "#101",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33313",
            "telephone_number": "954-584-2900",
            "fax_number": "954-584-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD C MARCUS DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "MARCUS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "954-584-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374120600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.