Organization Active NPI

Todd Kazdan, D.O., P.a.

  • Family Medicine Physician
  • Davie, FL
National Provider Identifier
1992731434
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TODD KAZDAN, D.O., P.A.
Practice address
6099 Stirling Rd
Suite 219-222
Davie, FL 33314-7234
Phone
(954) 581-7660
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Todd Jay Kazdan, D.O.NPI 1376592048
Title
President
Phone
(954) 581-7660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6099 Stirling Rd
Suite 219-222
Davie, FL 33314-7234

Mailing address

6099 Stirling Rd
Suite 219-222
Davie, FL 33314-7234
Phone (954) 581-7660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060810000210 FL Part B Supplier - Clinic/Group Practice 5991708000 Receives reassigned benefits from 1 practitioner
Practice locations: Davie, FL

National Provider Directory

National Provider Directory

Locations

6099 Stirling Rd
Ste 219222
Davie, FL 33314
Phone (954) 581-7660

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": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992731434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6099 STIRLING RD",
            "address_2": "SUITE 219-222",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333147234",
            "telephone_number": "954-581-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6099 STIRLING RD",
            "address_2": "SUITE 219-222",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333147234",
            "telephone_number": "954-581-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD KAZDAN, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAZDAN",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-581-7660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.