NPIMap

Organization Active NPI

Lower Extremity Surgical Group PL

  • Foot & Ankle Surgery Podiatrist
  • Miramar, FL
National Provider Identifier
1851688576
Registry record updated Feb 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3466 Issued in FL
Legal business name
LOWER EXTREMITY SURGICAL GROUP PL
Practice address
5103 SW 141St Ave
Miramar, FL 33027-5968
Phone
(954) 907-2191
NPI assigned
Jul 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2014

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

Authorized official

Name
Karina Baesso, DPMNPI 1780981035
Title
DPM/Manager
Phone
(954) 907-2191

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO3466 FL Primary

Addresses

Primary practice location

5103 SW 141St Ave
Miramar, FL 33027-5968

Mailing address

5103 SW 141St Ave
Miramar, FL 33027-5968
Phone (954) 907-2191

National Provider Directory

National Provider Directory

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": "1309478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1851688576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5103 SW 141ST AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330275968",
            "telephone_number": "954-907-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5103 SW 141ST AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330275968",
            "telephone_number": "954-907-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWER EXTREMITY SURGICAL GROUP PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-01",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "BAESSO",
        "authorized_official_first_name": "KARINA",
        "authorized_official_title_or_position": "DPM/MANAGER",
        "authorized_official_telephone_number": "954-907-2191",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; 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.