1083790034 NPI number — EDWARD J KAPLAN, MD, PA

Table of content: (NPI 1083790034)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083790034 NPI number — EDWARD J KAPLAN, MD, PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EDWARD J KAPLAN, MD, PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1083790034
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/19/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4848 COCONUT CREEK PKWAY
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
COCONUT CREEK
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33063-3904
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-379-4848
Provider Business Mailing Address Fax Number:
954-642-3634

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4848 COCONUT CREEK PKWAY
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
COCONUT CREEK
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33063-3904
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-379-4848
Provider Business Practice Location Address Fax Number:
954-642-3634
Provider Enumeration Date:
10/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
KAPLAN
Authorized Official First Name:
EDWARD
Authorized Official Middle Name:
J
Authorized Official Title or Position:
PHYSICIAN
Authorized Official Telephone Number:
954-379-4848

Provider Taxonomy Codes

  • Taxonomy code: 2085R0001X , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 10907 . This is a "TENET TOTAL HEALTH CHOICE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 250581900 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 31567 . This is a "BC BS OF FLORIDA" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 7299291 . This is a "GHI" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 203962 . This is a "AVMED" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 3744706 . This is a "AETNA" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 1914427 . This is a "CIGNA" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 7681680 . This is a "AETNA NON-HMO" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: F94513 . This is a "VISTA HEALTH PLAN" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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