Individual provider Active NPI

Marie Suzy St Cyr, M.D.

  • Family Medicine Physician
  • North Miami, FL
National Provider Identifier
1841501079
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME114010 Issued in FL
Practice address
11645 Biscayne Blvd
Suite 405
North Miami, FL 33181-3155
Phone
(305) 538-8835
Fax
(305) 938-4044
NPI assigned
Jun 22, 2010
Last updated
Mar 9, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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 ME114010 FL Primary

Addresses

Primary practice location

11645 Biscayne Blvd
Suite 405
North Miami, FL 33181-3155

Mailing address

11645 Biscayne Blvd
Suite 405
North Miami, FL 33181-3155
Phone (305) 538-8835

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
I20130906000223 FL Practitioner - Family Practice 1052554250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

290 NW 183Rd St
Miami Gardens, FL 33169-4462
Phone (786) 201-7852

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Loving Care Medical Center LLC Family Medicine CurrentSince Nov 15, 2016 Accepting new patients
Miami Beach Community Health Center Inc Past Accepting new patients
Orlando Family Physicians, LLC PastSince Jan 5, 2025 Accepting new patients

Locations

17801 NW 2nd Ave
Ste 210
Miami, FL 33169
Phone (786) 201-7852

290 NW 183rd St
North Miami Beach, FL 33169
Phone (786) 201-7852

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHAIAD/Endpoint/DHAIAD

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1841501079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11645 BISCAYNE BLVD",
            "address_2": "SUITE 405",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331813155",
            "telephone_number": "305-538-8835",
            "fax_number": "305-938-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 BISCAYNE BLVD",
            "address_2": "SUITE 405",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331813155",
            "telephone_number": "305-538-8835",
            "fax_number": "305-938-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST CYR",
        "first_name": "MARIE",
        "middle_name": "SUZY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME114010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

Verify at the official NPI Registry.