Hallendale Anesthesia GRP LLC

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

OS 8808 Issued in FL

Legal business name

HALLENDALE ANESTHESIA GRP LLC

Practice address

815 SE 1St Ave
Hallandale Beach, FL 33009-7102

Phone

(954) 455-1668

Fax

(954) 455-1669

NPI assigned

Jan 17, 2007

Last updated

Aug 30, 2007By 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. Mark Lwarence Schwartz, M.D.

Title

Medical Director

Phone

(954) 455-1668

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1972655561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 SE 1ST AVE",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330097102",
            "telephone_number": "954-455-1668",
            "fax_number": "954-455-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 SE 1ST AVE",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330097102",
            "telephone_number": "954-455-1668",
            "fax_number": "954-455-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLENDALE ANESTHESIA GRP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "LWARENCE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "954-455-1668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "FL",
            "license": "OS 8808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "OS 8808",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hallandale Medical Associates, Inc
• Hallandale Medical Center Inc.
• Hallandale Outpatient Surgical Center,LTD
• Hallandale Spine Institute, LLC
• Hallandale Surgery Center LLC
• Shiwei Han, MD, PHD
• Happy Healing Counseling, LLC
• Vivian Hariton, LMHC
• Harmony Behavioral & Community Services, Inc.
• Janelle Haylett

• Neuromusculoskeletal Medicine & OMM Physician in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.