Michael Jay Haimo, M.D.

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

13995 Issued in FL

Practice address

3020 NE 44TH St
Fort Lauderdale, FL 33308-5308

Phone

(954) 683-1682

Fax

(954) 771-6131

NPI assigned

Jul 24, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374624000000",
    "number": "1881036440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 NE 44TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085308",
            "telephone_number": "954-683-1682",
            "fax_number": "954-771-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 NE 44TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085308",
            "telephone_number": "954-683-1682",
            "fax_number": "954-771-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIMO",
        "first_name": "MICHAEL",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-24",
        "last_updated": "2013-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "FL",
            "license": "13995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Hacker
• Ashley Brooke Hackworth, MEDICAL STUDENT
• Karla Lorene Hadad
• Karl Matthew Hagen, M.D.
• Joshua Andreas Jeno Haggenmacher, MD
• Judith Lee Hainline, OD
• Edan Hajaj
• Lindsay Elizabeth Halas
• Eva S. Hale, MD
• James Albert Haley, DDS

• Colon & Rectal Surgery Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Colon & Rectal Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.