Individual provider Active NPI

Sonja Kerr, M.D.

  • Family Medicine Physician
  • Coral Springs, FL
National Provider Identifier
1811997083
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0064083 Issued in FL
Practice address
4630 N University Dr
PMB # 316
Coral Springs, FL 33067-4626
Phone
(954) 720-6338
Fax
(954) 720-6559
NPI assigned
Jul 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0064083 FL Primary

Addresses

Primary practice location

4630 N University Dr
PMB # 316
Coral Springs, FL 33067-4626

Mailing address

7975 West McNab Road
Tamarac, FL 33321
Phone (954) 720-6338

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20091020000592 FL Practitioner - Family Practice 0941347124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7975 W McNab Rd
Tamarac, FL 33321-8428
Phone (954) 720-6338

Hospital & facility affiliations

  • University Hospital and Medical Center Hospital, Tamarac, FL, CCN 100224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0064083FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medical Inc. Family Medicine CurrentSince May 29, 2009 Accepting new patients
U.S. Healthworks Medical Group of Florida, Inc. Past Accepting new patients

Locations

4613 N University Dr
Coral Springs, FL 33067
Phone (305) 970-3193

4630 N University Dr
Coral Springs, FL 33067
Phone (954) 720-6338

7975 W McNab Rd
Tamarac, FL 33321
Phone (954) 720-6338

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811997083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7975 WEST MCNAB ROAD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "33321",
            "telephone_number": "954-720-6338",
            "fax_number": "954-720-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 N UNIVERSITY DR",
            "address_2": "PMB # 316",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674626",
            "telephone_number": "954-720-6338",
            "fax_number": "954-720-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERR",
        "first_name": "SONJA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0064083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.