INDEPENDENT SURGICAL GROUP LLC (NPI# 1194220962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194220962 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT SURGICAL GROUP LLC |
| Practice Address |
142 John F Kennedy Dr Atlantis FL 33462-1159 |
| Mailing Address |
3461 Fairlane Farms Rd Wellington FL 33414-8752 |
| Practice Telephone | 5614391500 |
| Mailing Telephone | 5617661301 |
| Mailing Fax Number | 5616930539 |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2018-03-26 |
| Authorized Official Name | DR. ARTHUR HANSEN (OWNER) |
| Authorized Official Telephone | 5617661301 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084B0002X |
Psychiatry & Neurology Specialization: Obesity Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
Allopathic & Osteopathic Physicians |
| Street Address |
142 JOHN F KENNEDY DR |
| City | ATLANTIS |
| State | FL |
| Zip Code | 33462-1159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750311551 | Srinivas Kaza | Surgery | 142 John F Kennedy Dr, Atlantis, FL 33462-1159 | 2006-07-04 |
| 1346745122 | Independent Multispecialty Group of Florida LLC | Internal Medicine | 142 John F Kennedy Dr, Atlantis, FL 33462-1159 | 2018-03-26 |
| 1861768848 | Kandace Marisa Kichler | Surgery | 142 John F Kennedy Dr, Atlantis, FL 33462-1159 | 2012-03-23 |
| 1649590118 | Kareem Riad Mostafa Eid | Transplant Surgery | 142 John F Kennedy Dr, Atlantis, FL 33462-1159 | 2010-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449503 | Brightlife Institute, LLC | Clinic/Center | 2315 Shimmery Lane, Lake Worth, FL 33462 | 2020-05-20 |
| 1760024988 | Woodelyne Marc | Home Health | 1307 Flamingo Dr, Lantan, FL 33462 | 2019-10-09 |
| 1336624428 | Jennifer Lynn Jones | Nurse Practitioner | 5401 S Congress Ave Ste 105, Atlantis, FL 33462 | 2018-09-25 |
| 1427548445 | Publix Super Markets, Inc. | Pharmacy | 262 S Ocean Blvd, Manalapan, FL 33462 | 2018-05-15 |
| 1629567474 | Perfection Rx LLC | Pharmacy | 3248 Lantana Rd, Lake Worth, FL 33462 | 2018-05-08 |
| 1942797824 | Mayra Alejandra Tovar Castro | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-17 |
| 1285131169 | Samar Ibrahim Mohamed Huss Aboulenain | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-09 |
| 1801392535 | Carla Ortega | Student in an Organized Health Care Education/Training Program | 180 Jkf Drive, Suite 210, Atlantis, FL 33462 | 2018-04-02 |
| 1811427438 | Sonia Camille | Behavior Technician | 49 Sioux Ln, Lantana, FL 33462 | 2017-06-15 |
| 1922536648 | Alyzza De La Uz Forte | Nurse Practitioner | 180 John F Kennedy Dr, 311, Atlantis, FL 33462 | 2017-05-25 |
| Find all providers in zip 33462 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699234534 | Breast Specialists of South Florida, LLC | Surgery | 130 Jfk Dr Ste 132, Atlantis, FL 33462-1133 | 2019-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162228 | Florida Surgical Care LLC | Surgery | 2301 N University Dr Ste 204, Pembroke Pines, FL 33024-3617 | 2020-10-23 |
| 1659755783 | Genesiscare Usa of Florida LLC | Surgery | 8925 Colonial Center Dr Ste 2000, Fort Myers, FL 33905-7813 | 2015-07-18 |
| 1114365244 | Ahkeel Ikadon Hasani Allen | Surgery | 7500 Sw 87th Ave Ste 201, Miami, FL 33173-5426 | 2013-06-11 |
| 1003150889 | Daniel A. Osman | Surgery | 2456 Bay Isle Ct, Weston, FL 33327-1410 | 2012-11-19 |
| 1073834883 | David H Owen Md Pa | Surgery | 2623 S Seacrest Blvd Ste 108, Boynton Beach, FL 33435-7531 | 2010-06-15 |
| 1598082521 | Neha Goel | Surgery | 1120 Nw 14th St Ste 450, Miami, FL 33136 | 2010-04-30 |
| 1235373846 | Paris Sabo | Surgery | 2109 60th St W Ste A, Bradenton, FL 34209-5526 | 2009-04-27 |
| 1356582381 | Bassan Jorge Allan | Surgery | 4571 Colonial Blvd Ste 100, Fort Myers, FL 33966 | 2009-03-21 |
| 1043474125 | Mount Sinai Medical Center Surgical Oncology, LLC | Surgery | 4306 Alton Rd Fl 2, Comprehensive Cancer Center, Miami Beach, FL 33140-2840 | 2008-07-17 |
| 1588823751 | Omar Hidalgo Llaguna | Surgery | 601 N Flamingo Rd Ste 301, Pembroke Pines, FL 33028-1010 | 2008-06-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.