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PHOENIX OBSTETRICS AND GYNECOLOGY LLC
NPI 1285637066
Obstetrics & Gynecology in Ft Lauderdale, FL

Active since May 24, 2005
1600 S ANDREWS AVE, SUITE 323, WEST WING, FT LAUDERDALE, FL 33316(954) 355-5110(919) 425-0478 Get Directions Write a Review

NPPES record last updated: July 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2021, Aug 10, 2019 (2 updates tracked since 2019).

About Phoenix Obstetrics And Gynecology Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX OBSTETRICS AND GYNECOLOGY LLC (NPI 1285637066) is a healthcare organization registered as an obstetrics & gynecology in Ft Lauderdale, Florida and active in the NPI registry since May 2005. The organization lists Kathy Kondas, Officer, as its authorized official.

NPPES Registry Identity

NPI1285637066
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NamePHOENIX OBSTETRICS AND GYNECOLOGY LLC
Location Address1600 S ANDREWS AVE, SUITE 323, WEST WINGFt Lauderdale, FL 33316-2510
Mailing Address5565 Centerview Dr Ste 107Raleigh, NC 27606-3563 · Fax (919) 425-0478
Phone(954) 355-5110
Fax(919) 425-0478
Organization SubpartNo
Authorized OfficialKathy KondasOfficer · (877) 328-1119
Enumeration DateMay 24, 2005
Last NPPES UpdateJuly 15, 20212 updates tracked since enumeration
NPPES CertifiedJuly 15, 2021
✔ NPI 1285637066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in FL · ME43546
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1600 S ANDREWS AVE, Ft Lauderdale, FL 33316
Open in Google Maps ↗

Other Identifiers 1

Medicaid269096900FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Molina Healthcare and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIANNE MATTOX PARKER M.D.
Pediatrics
1600 S ANDREWS AVE, NEWBORN NURSERY
FORT LAUDERDALE, FL 33316
Broward County (954) 355-5810
AKILAH FULLER PHARMD, MS
Pharmacist
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Broward County (954) 355-4400
JACOB GOLDENBERG MD
Student in an Organized Health Care Education/Training Program
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Broward County (954) 941-8300
TIFFANY SKYE SCULTHORPE DO, MS
Student in an Organized Health Care Education/Training Program
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Broward County (954) 355-4400
JOHN BERNE MD
Surgery
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Broward County (305) 918-7050
DR. EDUARDO A. OTERO M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1600 S ANDREWS AVE, 4TH FLR NICU
FT LAUDERDALE, FL 33316
Broward County (954) 355-5870
WESTSIDE HOSPITALIST INC
Hospitalist
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Broward County (954) 355-4400
PETER A. NAMNUM, MD, PA
Internal Medicine (Pulmonary Disease)
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 33316
Broward County (954) 355-4400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix Obstetrics And Gynecology LLC's NPI number?

The NPI number for Phoenix Obstetrics And Gynecology LLC is 1285637066. It was assigned to this organization in the NPPES registry on May 24, 2005.

Where is Phoenix Obstetrics And Gynecology LLC located?

Phoenix Obstetrics And Gynecology LLC is located at 1600 S Andrews Ave Suite 323, West Wing, Ft Lauderdale, FL 33316. The listed phone number is (954) 355-5110.

What is Phoenix Obstetrics And Gynecology LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

What insurance does Phoenix Obstetrics And Gynecology LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Molina Healthcare and Wellpoint list Phoenix Obstetrics And Gynecology LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Phoenix Obstetrics And Gynecology LLC was last updated on July 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.