Organization Active NPI

Global Trauma Systems, Inc

  • Trauma Surgery Physician
  • Port Saint Lucie, FL
National Provider Identifier
1962891838
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
ME65570 Issued in FL
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

Updated by the provider on Mar 22, 2016

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X ME65570 FL
Surgical Critical Care PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0102X ME65570 FL
Trauma Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0127X ME65570 FL Primary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X ME65570 FL
Surgical Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
277835100MedicaidFL

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": "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.

Verify at the official NPI Registry.