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ST. GEORGE SPINAL CLINIC PA
NPI 1609898683
Internal Medicine in Lauderdale Lakes, FL

Active since July 25, 2006
4469 N STATE ROAD 7, LAUDERDALE LAKES, FL 33319(954) 486-1966(954) 486-9115 Get Directions Write a Review

NPPES record last updated: August 26, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About St. George Spinal Clinic Pa NPPES

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

ST. GEORGE SPINAL CLINIC PA (NPI 1609898683) is a healthcare organization registered as an internal medicine in Lauderdale Lakes, Florida and active in the NPI registry since July 2006. The organization lists Wagdy B. Tadros, Physician, as its authorized official.

NPPES Registry Identity

NPI1609898683
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameST. GEORGE SPINAL CLINIC PA
Location Address4469 N STATE ROAD 7Lauderdale Lakes, FL 33319-5876
Mailing AddressPo Box 10693Riviera Beach, FL 33419-0693 · (954) 486-1966 · Fax (954) 486-9115
Phone(954) 486-1966
Fax(954) 486-9115
Organization SubpartNo
Authorized OfficialWagdy B. TadrosPhysician · (954) 486-1966
Enumeration DateJuly 25, 2006
Last NPPES UpdateAugust 26, 2011
✔ NPI 1609898683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME65248
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4469 N STATE ROAD 7, Lauderdale Lakes, FL 33319
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Other Identifiers 5

Medicare UPINE94260FL
Medicare ID-Type UnspecifiedK6593FL · Group Identification Num
Other234955FL · Avmed
Other25940FL · Bcbs Id
Other2621902FL · Aetna

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

St. George Spinal Clinic Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to St. George Spinal Clinic PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Wagdy Tadros, M.D.
Internal Medicine
NPI 1114952413
4469 N STATE ROAD 7
Lauderdale Lakes, FL 33319
(954) 486-1966
✔ PECOS✔ Accepts Medicare33 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 St. George Spinal Clinic PA's NPI number?

The NPI number for St. George Spinal Clinic PA is 1609898683. It was assigned to this organization in the NPPES registry on July 25, 2006.

Where is St. George Spinal Clinic PA located?

St. George Spinal Clinic PA is located at 4469 N State Road 7, Lauderdale Lakes, FL 33319. The listed phone number is (954) 486-1966.

What is St. George Spinal Clinic PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is St. George Spinal Clinic PA enrolled in Medicare?

Yes. St. George Spinal Clinic PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St. George Spinal Clinic PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to St. George Spinal Clinic PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for St. George Spinal Clinic PA was last updated on August 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.