GENESISCARE USA OF FLORIDA LLC (NPI# 1497016729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497016729 |
| Entity Type | Organization |
| Organization Name | GENESISCARE USA OF FLORIDA LLC |
| Other Organization Name | URO-SURG ASSOCIATES |
| Practice Address |
180 Sw 84th Ave Suite A Plantation FL 33324-2731 |
| Mailing Address |
2160 Colonial Blvd Fort Myers FL 33907-1410 |
| Practice Telephone | 9544742929 |
| Practice Fax Number | 9544749708 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2020-08-24 |
| Authorized Official Name | DAN COLLINS (PRESIDENT) |
| Authorized Official Telephone | 2399317275 |
| Is Organization Subpart | Y |
| Parent Organization Name | GENESISCARE USA INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | CE7138 | 01 |
| Other Name | Type Code |
|---|---|
| Uro-Surg Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336509546 | Genesiscare Usa of Florida LLC | Surgery | 550 Twin Cities Blvd Ste C, Niceville, FL 32578-1050 | 2016-03-01 |
| 1528423670 | Genesiscare Usa of Florida LLC | Pharmacy | 2234 Colonial Blvd Ste 110, Fort Myers, FL 33907 | 2015-12-16 |
| 1982079380 | Genesiscare Usa of Florida LLC | Surgery | 820 Goodlette-frank Rd N, Naples, FL 34102-5445 | 2015-12-10 |
| 1184095234 | Genesiscare Usa of Florida LLC | Urology | 5065 S State Road 7 Ste 203, Lake Worth, FL 33449-5439 | 2015-10-15 |
| 1770952616 | Genesiscare Usa of Florida LLC | Urology | 3361 South Miami Avenue, Suite 306, Miami, FL 33133-4232 | 2015-09-22 |
| 1659755783 | Genesiscare Usa of Florida LLC | Surgery | 8925 Colonial Center Dr Ste 2000, Fort Myers, FL 33905-7813 | 2015-07-18 |
| 1174915748 | Genesiscare Usa of Florida LLC | Urology | 2721 Del Prado Blvd S Ste 230b, Cape Coral, FL 33904-5993 | 2015-02-19 |
| 1891036810 | Genesiscare Usa of Florida LLC | Surgery | 13691 Metro Pkwy Ste 350, Metro Medical Plaza, Fort Myers, FL 33912-4351 | 2013-03-15 |
| 1871735480 | Genesiscare Usa of Florida LLC | Urology | 2150 S Andrews Ave Ste 100, Fort Lauderdale, FL 33316-3432 | 2009-03-27 |
| 1972796787 | Genesiscare Usa of Florida LLC | Surgery | 1311 N University Dr, Coral Springs, FL 33071-6622 | 2007-08-24 |
| Street Address |
180 SW 84TH AVE SUITE A |
| City | PLANTATION |
| State | FL |
| Zip Code | 33324-2731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558361543 | Scott Dana Smoller | Internal Medicine | 180 Sw 84th Ave, Suite C, Plantation, FL 33324-2731 | 2005-07-31 |
| 1063976942 | Vanessa Georgette Garcia | Dietitian, Registered | 180 Sw 84th Ave, Plantation, FL 33324-2731 | 2019-01-25 |
| 1801275904 | Guidewell Sanitas I, LLC | Family Medicine | 180 Sw 84th Ave, Suite B, Plantation, FL 33324-2731 | 2015-05-21 |
| 1124411699 | Nora Figueroa | Nurse Practitioner | 180 Sw 84th Ave, Suite B, Plantation, FL 33324-2731 | 2015-03-09 |
| 1396062287 | Venis Tiarra Wilder | Family Medicine | 180 Sw 84th Ave, Plantation, FL 33324-2731 | 2010-04-30 |
| 1538367016 | Paul R Kahn | Urology | 180 Sw 84th Ave, Suite A, Plantation, FL 33324-2731 | 2007-07-06 |
| 1467659003 | Paul R. Kahn Md Pa | Urology | 180 Sw 84th Ave, Suite A, Plantation, FL 33324-2731 | 2007-06-28 |
| 1396946828 | Ramon Luis Rivera-olivieri | General Practice | 180 Sw 84th Ave, Suite B., Plantation, FL 33324-2731 | 2007-05-31 |
| 1366576423 | Tracee A Block-trapanese | Specialist | 180 Sw 84th Ave, Suite A, Plantation, FL 33324-2731 | 2007-03-14 |
| 1952479008 | Patrick Villicana | Urology | 180 Sw 84th Ave, Suite A, Plantation, FL 33324-2731 | 2006-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395382 | Jose A Zarranz | Pharmacist | 9648 Nw 7th Circle, Apt 1914, Plantation, FL 33324 | 2020-08-07 |
| 1275142234 | Leann Dehoff, Phd, Lmhc, Inc. | Clinic/Center | 150 S Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2020-07-27 |
| 1881232890 | Clara Mary Gonzalez Guevara | Nurse Practitioner | 01 S University Dr, Suite C136, Plantation, FL 33324 | 2019-12-20 |
| 1568009231 | Beena K Bijoy | Nurse Practitioner | 10305 Nw 6th Street, Plantation, FL 33324 | 2019-12-02 |
| 1629636030 | Carey Brown | Behavior Technician | 3 S Pine Island Rd, Apt 215, Ft. Lauderdale, FL 33324 | 2019-05-31 |
| 1578076410 | Eden Avni | Physician Assistant | 950 S Pine Island Rd Ste A-180, Plantation, FL 33324 | 2017-11-14 |
| 1528597952 | Loretta Epsen | Counselor | 851 Nw 85th Terr #1906, Plantation, FL 33324 | 2017-06-08 |
| 1497289409 | Leann Gale Dehoff | Counselor | 150 South Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2017-04-17 |
| 1851842918 | Maria Clara Rodriguez Andrade | Technician, Other | 2440 Sw 105 Terrace, Davie, FL 33324 | 2016-10-24 |
| 1447703947 | Herltg-debbie M Louis | Nurse Practitioner | 800 S University Dr, C-136, Plantation, FL 33324 | 2016-08-01 |
| Find all providers in zip 33324 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457663924 | Christopher L Vendryes | Urology | 10341 Nw 11th Ct, Plantation, FL 33322-6550 | 2010-07-13 |
| 1457302895 | Daniel N Ead | Urology | 1216 N University Dr, Plantation, FL 33322-4724 | 2006-05-12 |
| 1528024650 | Robert M Segaul | Urology | 351 W Tropical Way, Plantation, FL 33317-3328 | 2006-04-26 |
| 1750793584 | Genesiscare Usa of Florida LLC | Urology | 1216 N University Dr, Plantation, FL 33322-4724 | 2014-05-28 |
| 1831416676 | Jeffrey L. Marks, Md, Pa | Urology | 7390 Nw 5th St, Suite 7, Plantation, FL 33317-1610 | 2010-05-03 |
| 1538367016 | Paul R Kahn | Urology | 180 Sw 84th Ave, Suite A, Plantation, FL 33324-2731 | 2007-07-06 |
| 1467659003 | Paul R. Kahn Md Pa | Urology | 180 Sw 84th Ave, Suite A, Plantation, FL 33324-2731 | 2007-06-28 |
| 1952479008 | Patrick Villicana | Urology | 180 Sw 84th Ave, Suite A, Plantation, FL 33324-2731 | 2006-11-30 |
| 1669560892 | Daniel N Ead Md Pa | Urology | 1216 N University Dr, Plantation, FL 33322-4724 | 2006-10-11 |
| 1952346918 | Jeffrey L Marks | Urology | 7390 Nw 5th St, Suite 7, Plantation, FL 33317-1610 | 2006-06-16 |
| Find all providers in PLANTATION | ||||
| City | PLANTATION |
| Zip Code | 33324 |
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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.