Active NPI
Global Trauma Systems, Inc
- Trauma Surgery Physician
- Port Saint Lucie, FL
National Provider Identifier
1962891838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- ME65570
- Legal business name
- GLOBAL TRAUMA SYSTEMS, INC
- Practice address
- 126 SE Mira Lavella
Port Saint Lucie, FL 34984-6615 - Phone
- (772) 233-6166
- Fax
- (772) 345-4442
- NPI assigned
- Jan 15, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Slobodan Jazarevic, M.D.
- Title
- C.E.O.
- Phone
- (772) 233-6166
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME65570 | FL | |
| Surgical Critical Care Physician | 2086S0102X | ME65570 | FL | |
| Trauma Surgery Physician | 2086S0127X | ME65570 | FL | Primary |
| Vascular Surgery Physician | 2086S0129X | ME65570 | FL | |
| Surgical Oncology Physician | 2086X0206X | ME65570 | FL |
Addresses
Primary practice location
126 SE Mira Lavella
Port Saint Lucie, FL 34984-6615
Mailing address
126 SE Mira Lavella
Port Saint Lucie, FL 34984-6615
Phone (772) 233-6166
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 277835100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Waynesville, NC
- NPI 1083498828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458604800000",
"number": "1962891838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 SE MIRA LAVELLA",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349846615",
"telephone_number": "772-233-6166",
"fax_number": "772-345-4442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 SE MIRA LAVELLA",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349846615",
"telephone_number": "772-233-6166",
"fax_number": "772-345-4442"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLOBAL TRAUMA SYSTEMS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-15",
"last_updated": "2016-03-22",
"status": "A",
"authorized_official_last_name": "JAZAREVIC",
"authorized_official_first_name": "SLOBODAN",
"authorized_official_title_or_position": "C.E.O.",
"authorized_official_telephone_number": "772-233-6166",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "FL",
"license": "ME65570",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Surgical Critical Care",
"state": "FL",
"license": "ME65570",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Trauma Surgery",
"state": "FL",
"license": "ME65570",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": "FL",
"license": "ME65570",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Surgical Oncology",
"state": "FL",
"license": "ME65570",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "277835100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.