Individual provider Active NPI

Theodore Zaravinos, M.D.

  • Hematology & Oncology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1922034560
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME36966 Issued in FL
Practice address
5700 N Federal Hwy
Suite 5
Ft Lauderdale, FL 33308-2600
Phone
(954) 776-1800
Fax
(954) 776-3647
NPI assigned
Jun 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X ME36966 FL Primary

Addresses

Primary practice location

5700 N Federal Hwy
Suite 5
Ft Lauderdale, FL 33308-2600

Mailing address

5700 N Federal Hwy
Suite 5
Ft Lauderdale, FL 33308-2600
Phone (954) 776-1800

Other identifiers 1

IdentifierTypeStateIssuer
253689700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180112002646 FL Order and Referring Only - Hematology/OncologyPractitioner - Hematology/Oncology 9638073273

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME36966FLMDHematology & Oncology Physician

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1922034560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 N FEDERAL HWY",
            "address_2": "SUITE 5",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333082600",
            "telephone_number": "954-776-1800",
            "fax_number": "954-776-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 N FEDERAL HWY",
            "address_2": "SUITE 5",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333082600",
            "telephone_number": "954-776-1800",
            "fax_number": "954-776-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARAVINOS",
        "first_name": "THEODORE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME36966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253689700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.