Active NPI
Gynecologic Oncology Associates, Inc
- Gynecologic Oncology Physician
- Pembroke Pines, FL
National Provider Identifier
1972585040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- Legal business name
- GYNECOLOGIC ONCOLOGY ASSOCIATES, INC
- Practice address
- 601 N Flamingo Rd
Suite 211
Pembroke Pines, FL 33028-1015 - Phone
- (954) 430-6191
- NPI assigned
- Nov 15, 2005
- 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
- Mr. Robert Coward
- Title
- President
- Phone
- (954) 838-2371
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | Primary |
Addresses
Primary practice location
601 N Flamingo Rd
Suite 211
Pembroke Pines, FL 33028-1015
Mailing address
PO Box 816967
Hollywood, FL 33081-0967
Phone (954) 838-2371
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 254103302 | Medicaid | FL | |
| 99720 | Other | FL | BCBS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1425600000000",
"number": "1972585040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 816967",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330810967",
"telephone_number": "954-838-2371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 N FLAMINGO RD",
"address_2": "SUITE 211",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330281015",
"telephone_number": "954-430-6191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GYNECOLOGIC ONCOLOGY ASSOCIATES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-15",
"last_updated": "2015-03-06",
"status": "A",
"authorized_official_last_name": "COWARD",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-838-2371",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "254103302",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "99720",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.