Redtag-19, LLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

REDTAG-19, LLC

Practice address

8765 Watercrest Cir E
Parkland, FL 33076-2853

Phone

(954) 482-3740

Fax

(719) 245-1341

NPI assigned

Dec 10, 2020

Last updated

Dec 11, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lata Shintre, MD

Title

Ceo/Founder

Phone

(954) 482-3740

Specialties & licenses 2

Addresses

Other names 1

• Red Tag-19 LLC Former legal business name

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Niranjan J Shintre, M.D.

  • Surgery Physician
  • Coral Springs, FL
  • NPI 1215132980
  NPD (past)

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607644800000",
    "number": "1942806260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8765 WATERCREST CIR E",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330762853",
            "telephone_number": "954-482-3740",
            "fax_number": "719-245-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8765 WATERCREST CIR E",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330762853",
            "telephone_number": "954-482-3740",
            "fax_number": "719-245-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDTAG-19, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A",
        "authorized_official_last_name": "SHINTRE",
        "authorized_official_first_name": "LATA",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "954-482-3740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.redtag-19.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8765 Watercrest Cir E",
            "city": "Parkland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330762853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Red Tag-19 LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Red Tag-19 LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Emergency Care Clinic/Center in Parkland, FL
• Providers in Parkland, FL by specialty
• Emergency Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.