SIRTAZ SINGH SIBIA (NPI# 1679518195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679518195 |
| Entity Type | Individual |
| Full Name | SIRTAZ SINGH SIBIA |
| Credential | D.O. |
| Practice Address |
11195 S Jog Rd Suite 1&2 Boynton Beach FL 33437-1829 |
| Practice Telephone | 5617520075 |
| Practice Fax Number | 5615364200 |
| Mailing Telephone | 5617520075 |
| Mailing Fax Number | 5615364200 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2012-08-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | OS7844 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 49882 | 01 |
| Street Address |
11195 S JOG RD SUITE 1&2 |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33437-1829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235197666 | Christopher Wade Hunt | Internal Medicine | 11195 S Jog Rd, Suite 3, Boynton Beach, FL 33437-1829 | 2006-05-03 |
| 1750818548 | Orthopedic Center of Palm Beach County | Orthopaedic Surgery | 11195 S Jog Rd, Unit 5, Boynton Beach, FL 33437-1829 | 2017-05-11 |
| 1811439433 | Optum Labs LLC | Clinical Medical Laboratory | 11195 S Jog Rd, Suite 4, Boynton Beach, FL 33437-1829 | 2016-11-14 |
| 1245578244 | Gustavo A Cardenas Md Pa | Internal Medicine | 11195 S Jog Rd, Suite 6, Boynton Beach, FL 33437-1829 | 2013-01-25 |
| 1295061083 | Lynn Danielle Goldenberg | Physician Assistant | 11195 S Jog Rd, Boynton Beach, FL 33437-1829 | 2009-10-28 |
| 1073764718 | Eric Adam Heller | Internal Medicine | 11195 S Jog Rd, Suite 6, Boynton Beach, FL 33437-1829 | 2008-09-30 |
| 1477714533 | Rodolfo Carrillo Jimenez Md Pa | Internal Medicine | 11195 S Jog Rd, Suite 6, Boynton Beach, FL 33437-1829 | 2008-06-21 |
| 1184658718 | Alex Zopo | Internal Medicine | 11195 S Jog Rd, Suite 3, Boynton Beach, FL 33437-1829 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548800808 | Ortho Florida, LLC | Anesthesiology | 11135 S Jog Road Ste 5, Boynton Beach, FL 33437 | 2020-01-14 |
| 1730725086 | Uttamkumar Sheladiya | Pharmacist | 12080 South Jog Rod, Boyton Beach, FL 33437 | 2019-11-21 |
| 1831601608 | Sheri Keehn | Nurse Practitioner | 6713 Conch Ct, Boynton Beach, FL 33437 | 2017-11-01 |
| 1265958037 | Kiersten Lutchi | Behavior Technician | 7862 Red Mahogany Road, Boynton Beach, FL 33437 | 2017-08-14 |
| 1740725084 | Marie Maxi | Behavior Technician | 6713 Heritage Grande, 1206, Boynton Beach, FL 33437 | 2016-12-22 |
| 1184071623 | Darronique Johnson | Technician, Other | 10779 Cambay Cr., Boynton Beach, FL 33437 | 2016-05-14 |
| 1033580709 | Brett R. Hutton, M.d., P.a. | Internal Medicine | 10301 Hagen Ranch Rd Ste B550, Boynton Beach, FL 33437 | 2015-10-07 |
| 1104258417 | Domenick Andrew Cerullo | Dentist | 10150 Hagen Ranch Road Suite 202, Dental Arts of Boynton Beach, P.a., Boynton Beach, FL 33437 | 2013-08-09 |
| 1275883399 | Kate A Vazquez | Physician Assistant | 7593 Boynton Beach Blvd Ste 190, Boynton Beach, FL 33437 | 2012-09-17 |
| 1912256009 | Kristi Joy Kline | Physical Therapist | 11135 South Jog Road, Suite 1, Boynton Beach, FL 33437 | 2012-09-05 |
| Find all providers in zip 33437 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942568860 | David C Lack | Ophthalmology | 7737 Rockford Rd, Boynton Beach, FL 33472-2521 | 2012-04-28 |
| 1093975336 | Laura Rubinate | Ophthalmology | 11195 S Jog Rd # 1&2, Boynton Beach, FL 33437 | 2008-06-10 |
| 1346278256 | Wayne Curtis Barish | Ophthalmology | 12040 S Jog Rd Ste 3, Boynton Beach, FL 33437-4164 | 2006-06-29 |
| 1467497529 | Florida Eye & Plastic Surgery Associates Inc | Ophthalmology | 10075 Jog Rd, Suite 301, Boynton Beach, FL 33437-3535 | 2006-06-20 |
| 1861455529 | Randy Steven Katz | Ophthalmology | 1717 W Woolbright Rd, Boynton Beach, FL 33426-6319 | 2006-04-11 |
| 1063861383 | Izrus Pllc | Ophthalmology | 8198 S Jog Rd, Suite 102, Boynton Beach, FL 33472-2900 | 2016-06-07 |
| 1275942161 | Jonathan S Criss Md LLC | Ophthalmology | 10151 Enterprise Center Blvd, Ste 203, Boynton Beach, FL 33437 | 2014-08-05 |
| 1487092409 | Thomas Retina Eye Institute Pa | Ophthalmology | 1901 S Congress Ave Ste 300, Boynton Beach, FL 33426-6551 | 2013-06-12 |
| 1225382674 | Brad E. Oren, Md Pa | Ophthalmology | 8198 S Jog Rd, Suite 102, Boynton Beach, FL 33472-6900 | 2012-11-07 |
| 1780868901 | Jason John Gorscak | Ophthalmology | 1717 W Woolbright Rd, Boynton Beach, FL 33426-6319 | 2007-12-24 |
| Find all providers in BOYNTON BEACH | ||||
| City | BOYNTON BEACH |
| Zip Code | 33437 |
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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.