Active NPI
Mohamed A Hegazy, MD, SA
- Surgery Physician
- Miramar, FL
National Provider Identifier
1821308503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- HSE15674
- Practice address
- 2550 SW 189TH Ave
Miramar, FL 33029-2449 - Phone
- (850) 896-5412
- NPI assigned
- Oct 15, 2010
- Last updated
- Dec 8, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | HSE15674 | FL | Primary |
Addresses
Primary practice location
2550 SW 189TH Ave
Miramar, FL 33029-2449
Mailing address
2550 SW 189TH Ave
Miramar, FL 33029-2449
Phone (850) 896-5412
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HSE15674 | FL | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449532800000",
"number": "1821308503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 SW 189TH AVE",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330292449",
"telephone_number": "850-896-5412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 SW 189TH AVE",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330292449",
"telephone_number": "850-896-5412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEGAZY",
"first_name": "MOHAMED",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD, SA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-15",
"last_updated": "2015-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "HSE15674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miramar, FL
- Heavenly Foods
- Heavenly Health Care Center, LLC
- Heavenly Touch Home Health Care of Broward Corp
- Bhavani Hebbar, MD
- Dayli Hechavarria Amaro
- Helping Hands for Homemaking and Companionship LLC
- Helping Hands for Homemaking and Companionship LLC
- Helping Hands Life Care, LLC
- Helping Hearts Counseling Services
- Janet Hendricks, MFC PARENT PROVIDER
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.