DR. GURPAUL SINGH BAJWA (NPI# 1639462609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639462609 |
| Entity Type | Individual |
| Full Name | DR. GURPAUL SINGH BAJWA |
| Credential | M.D. |
| Practice Address |
3510 Johnson Street Hollywood FL 33021-1575 |
| Practice Telephone | 8607162378 |
| Mailing Telephone | 8607162378 |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2017-05-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 119615 | FL | Allopathic & Osteopathic Physicians |
| N | 282N00000X | General Acute Care Hospital | 119615 | FL | Hospitals |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3510 JOHNSON STREET |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-1575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881843431 | Samuel Jeffrey Gerson | Emergency Medicine | 3990 Sheridan St Ste 212, Hollywood, FL 33021-3656 | 2008-09-18 |
| 1164694907 | Diego Roberto Abdelnur | Emergency Medicine | 1555 Vine St, Apt 311s, Hollywood, CA 90028-7359 | 2008-04-01 |
| 1407878838 | Christopher Johnson | Emergency Medicine | 300 South Park Road, Suite 400, Hollywood, FL 33021 | 2006-07-24 |
| 1306831359 | Sterling Emergency Services of Florida Pa | Emergency Medicine | 3600 Washington St, Hollywood, FL 33021-8216 | 2005-09-15 |
| 1417957218 | David S Schillinger | Emergency Medicine | 300 S Park Rd, # 400, Hollywood, FL 33021-8593 | 2005-07-22 |
| 1093247330 | Louis Anthony Jane | Emergency Medicine | 3501 Johnson St, Hollywood, FL 33021-5421 | 2017-03-28 |
| 1386094274 | Catherine Elizabeth Uthe | Emergency Medicine | 3501 Johnson St, Hollywood, FL 33021-5421 | 2016-06-21 |
| 1982054029 | Matthew Yasavolian | Emergency Medicine | 3501 Johnson St, Hollywood, FL 33021-5421 | 2016-06-20 |
| 1407238363 | Diab Diab | Emergency Medicine | 3501 Johnson St, Hollywood, FL 33021-5421 | 2015-06-26 |
| 1407269145 | Joshua Imakyure | Emergency Medicine | 300 S Park Rd, Suite 400, Hollywood, FL 33021 | 2014-06-10 |
| Find all providers in HOLLYWOOD | ||||
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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.