PHOENIX OBSTERICS/GYNECOLOGY, LLC
NPI 1568411700
Obstetrics & Gynecology in Ft Lauderdale, FL

NPI Status: Active since May 06, 2006

Contact Information

500 SE 17TH ST
SUITE 100
FT LAUDERDALE, FL
ZIP 33316
Phone: (919) 425-1565
Fax: (919) 425-0478

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  • Organization
  • Obstetrics & Gynecology

About PHOENIX OBSTERICS/GYNECOLOGY, LLC

Phoenix Obsterics/gynecology, Llc is a women's health care provider established in Ft Lauderdale, Florida operating as a Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1568411700 assigned on May 2006. The practitioner's primary taxonomy code is 207V00000X with license number ME43546 (FL). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Bertram Walls Md (President)

NPI
1568411700
Provider Name
PHOENIX OBSTERICS/GYNECOLOGY, LLC
Entity Type
Organization
Location Address
500 SE 17TH ST SUITE 100 FT LAUDERDALE, FL 33316
Location Phone
(919) 425-1565
Location Fax
(919) 425-0478
Mailing Address
3114 CROASDAILE DR STE 200 PHOENIX OBSTETRICS/GYNECOLOGY, LLC DURHAM, NC 27705
Mailing Phone
(919) 425-1565
Mailing Fax
(919) 425-0478
Is Sole Proprietor?
N/A
Is Organization Subpart?
No
Enumeration Date
05-06-2006
Last Update Date
08-10-2019
Code Navigator

Women's health care providers like Phoenix Obsterics/gynecology, Llc treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

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

Obstetrics & Gynecology

Taxonomy Code
207V00000X
Type
Allopathic & Osteopathic Physicians
License No.
ME43546
License State
FL
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

The NPI profile data suggests this provider may be accepting health plans from these insurance companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. BERTRAM WALLS MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(954) 838-2371

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
269096903MEDICAID (05)FL 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1568411700
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2512881270
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 8 + 1 + 2 + 7 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1568411700 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1356337604FLORIDA BRACING CENTERS INC
Organization
Orthotist500 SE 17TH ST SUITE 301
FORT LAUDERDALE, FL 33316
(954) 525-6700
1003010380MARTIN M ROCHE MD PA
Organization
Ophthalmology500 SE 17TH ST SUITE 100
FT LAUDERDALE, FL 33316
(954) 462-7558
1932377017MR. JAIME TINOCO ACUPUNCTURIST
Individual
Acupuncturist500 SE 17TH ST STE # 220
FORT LAUDERDALE, FL 33316
(954) 682-5814
1043465834STEVEN F BRAND DC PA
Organization
Chiropractor500 SE 17TH ST SUITE 220
FT LAUDERDALE, FL 33316
(954) 523-5289
1548259278DR. ADOLFO GONZALEZ-GARCIA MD
Individual
Obstetrics & Gynecology (Maternal & Fetal Medicine)500 SE 17TH ST PREMIERE PERINATAL ASSOCIATES
FT LAUDERDALE, FL 33316
(954) 468-3080
1245481928PALLIATIVE CARE ASSOCIATES LLC
Organization
Family Medicine (Hospice and Palliative Medicine)500 SE 17TH ST 301
FT LAUDERDALE, FL 33316
(954) 636-1364
1750646030PALLIATIVE MEDICAL SPECIALTIES LLC
Organization
Family Medicine (Hospice and Palliative Medicine)500 SE 17TH ST SUITE 301
FORT LAUDERDALE, FL 33316
(954) 990-7038
1356597785DR. HECTOR L DI CARLO MD
Individual
Family Medicine500 SE 17TH ST SUITE 110
FORT LAUDERDALE, FL 33316
(954) 533-1173
1598146474HECTOR L DI CARLO MD PA
Organization
Family Medicine (Adult Medicine)500 SE 17TH ST SUITE 110
FORT LAUDERDALE, FL 33316
(954) 533-1173
1689039000SOUTH FLORIDA ANTI-AGING & AESTHETICS, LLC
Organization
Clinic/Center (Health Service)500 SE 17TH ST 200
FORT LAUDERDALE, FL 33316
(954) 906-0399

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568411700, enumerated in the NPI registry as an "organization" on May 06, 2006

The provider is located at 500 Se 17th St Suite 100 Ft Lauderdale, Fl 33316 and the phone number is (919) 425-1565

This medical organization specializes in Obstetrics & Gynecology with taxonomy code 207V00000X

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 06, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.