FORT LAUDERDALE MEDICAL SURGICAL ASSOCIATES., INC.
NPI 1134473663
Colon & Rectal Surgery in Wilton Manors, FL
NPI Status: Active since November 06, 2012
Contact Information
2301 WILTON DR
SUITE C2
WILTON MANORS, FL
ZIP 33305
Phone: (954) 567-5898
Fax: (954) 567-0395
- Organization
- Colon & Rectal Surgery
- Accepts Insurance
- CLIA Number: 10D1025582
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-11-2028
About FORT LAUDERDALE MEDICAL SURGICAL ASSOCIATES., INC.
This page provides the complete NPI Profile along with additional information for Fort Lauderdale Medical Surgical Associates., Inc., a provider established in Wilton Manors, Florida operating as a Colon & Rectal Surgery. The healthcare provider is registered in the NPI registry with number 1134473663 assigned on November 2012. The practitioner's primary taxonomy code is 208C00000X with license number OS8504 (FL). The provider is registered as an organization and their NPI record was last updated 14 years ago. Fort Lauderdale Medical Surgical Associates., Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Timothy Goshen Do (Owner)
- NPI
- 1134473663
- Provider Name
- FORT LAUDERDALE MEDICAL SURGICAL ASSOCIATES., INC.
- Entity Type
- Organization
- Location Address
- 2301 WILTON DR SUITE C2 WILTON MANORS, FL 33305
- Location Phone
- (954) 567-5898
- Location Fax
- (954) 567-0395
- Mailing Address
- 2301 WILTON DR SUITE C2 WILTON MANORS, FL 33305
- Mailing Phone
- (954) 567-5898
- Mailing Fax
- (954) 567-0395
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-06-2012
- Last Update Date
- 12-07-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Colon & Rectal Surgery
- Taxonomy Code
- 208C00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- OS8504
- License State
- FL
- Taxonomy Description
- A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AvMed Entrust Bronze 600 (2026) - HMO
- AvMed Entrust Bronze 650 (2026) - HMO
- AvMed Entrust Expanded Bronze Standard (2026) - HMO
- AvMed Entrust Gold 125 (2026) - HMO
- AvMed Entrust Gold 125 Dental+Vision (2026) - HMO
- AvMed Entrust Gold Standard (2026) - HMO
- AvMed Entrust Platinum 25 (2026) - HMO
- AvMed Entrust Platinum 25 Dental+Vision (2026) - HMO
- AvMed Entrust Platinum Standard (2026) - HMO
- AvMed Entrust Silver 350 (2026) - HMO
- AvMed Entrust Silver 350 Dental+Vision (2026) - HMO
- AvMed Entrust Silver 550 (2026) - HMO
- AvMed Entrust Silver 550 Dental+Vision (2026) - HMO
- AvMed Entrust Silver Standard (2026) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| A66622 | MEDICARE UPIN (02) | ||
| 57739 | OTHER (01) | MEDICARE | |
| 266516600 | MEDICAID (05) | FL |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D1025582
- Facility Type
- Physician Office
- Certificate Effective Date
- May 12, 2026
- Certificate Expiration Date
- May 11, 2028
- Laboratory Director
- TIMOTHY R. GOSHEN DO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Fort Lauderdale Medical Surgical Associates., Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for FORT LAUDERDALE MEDICAL SURGICAL ASSOCIATES., INC.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1134473663, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
WILTON MANORS, FL 33305
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134473663, enumerated as an "organization" on November 06, 2012.
The provider is located at 2301 WILTON DR SUITE C2 WILTON MANORS, FL 33305 and the phone number is (954) 567-5898.
Colon & Rectal Surgery with taxonomy code 208C00000X.
The provider might be accepting Accepts: AvMed, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
