DR. CHARLES PETER LAGO SR. (NPI# 1144219445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144219445 |
| Entity Type | Individual |
| Full Name | DR. CHARLES PETER LAGO SR. |
| Credential | M.D. |
| Practice Address |
350 N Pine Island Rd Suite 300 Plantation FL 33324-1849 |
| Mailing Address |
Po Box 15466 Plantation FL 33318-5466 |
| Practice Telephone | 9542365444 |
| Practice Fax Number | 9542365422 |
| Mailing Telephone | 9542365444 |
| Mailing Fax Number | 9542365422 |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2010-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | ME66163 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 378125900 | 05 | |
| FL | AETNA PPO | 5578459 | 01 |
| FL | AETNA HMO | 3392686 | 01 |
| FL | TCA | 378125900 | 01 |
| FL | N H P | 5334 | 01 |
| FL | UNITED HEALTHCARE | 1380688 | 01 |
| FL | BLUE CROSS BLUE SHIELD | 26971 | 01 |
| FL | CARE PLUS | 1002966 | 01 |
| FL | AMERI GROUP | 201272 | 01 |
| FL | AVMED | 202325 | 01 |
| Street Address |
350 N PINE ISLAND RD SUITE 300 |
| City | PLANTATION |
| State | FL |
| Zip Code | 33324-1849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609493816 | Ortho Florida, LLC | Orthopaedic Surgery | 350 N Pine Island Rd, Plantation, FL 33324-1849 | 2020-07-03 |
| 1801214572 | Terry Rubin | Chiropractor | 350 N Pine Island Rd, Suite 200, Plantation, FL 33324-1849 | 2014-03-31 |
| 1861820482 | Patricia Luzquinos | Physician Assistant | 350 N Pine Island Rd, Plantation, FL 33324-1849 | 2013-10-16 |
| 1700225471 | Shari Zelman Sprague | Physical Therapist | 350 N Pine Island Rd, Suite 200, Plantation, FL 33324-1849 | 2013-06-17 |
| 1366671042 | Luis Miguel Martinez | Family Medicine | 350 N Pine Island Rd, Suite 302, Plantation, FL 33324-1849 | 2009-07-02 |
| 1952549818 | Laura Jean Severance | Physical Therapist | 350 N Pine Island Rd, Suite 200, Plantation, FL 33324-1849 | 2009-01-30 |
| 1669618260 | Sylvia Elena Fernandez | Physician Assistant | 350 N Pine Island Rd, Suite 301, Plantation, FL 33324-1849 | 2009-01-02 |
| 1740426584 | Mindy Scheinberg | Physical Therapist | 350 N Pine Island Rd, Suite 200, Plantation, FL 33324-1849 | 2008-12-29 |
| 1316183155 | Donna Pleasants | Physical Therapist | 350 N Pine Island Rd, Suite 200, Plantation, FL 33324-1849 | 2008-12-29 |
| 1073766804 | Joseph P Corallo Jr. | Colon & Rectal Surgery | 350 N Pine Island Rd, Plantation, FL 33324-1849 | 2008-10-24 |
| 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 | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073766804 | Joseph P Corallo Jr. | Colon & Rectal Surgery | 350 N Pine Island Rd, Plantation, FL 33324-1849 | 2008-10-24 |
| 1912113523 | Colon and Rectal Clinic of Fort Lauderdale Pa | Colon & Rectal Surgery | 350 N Pine Island Rd, Suite 300, Plantation, FL 33324-1849 | 2007-05-14 |
| 1861405508 | The Colon and Rectal Clinic of Ft Lauderdale Pa | Colon & Rectal Surgery | 201 Nw 82nd Ave, Suite 302, Plantation, FL 33324 | 2006-08-14 |
| 1386626422 | Surgery Specialists of Broward Inc | Colon & Rectal Surgery | 350 Nw 84th Ave, #311, Plantation, FL 33324-1817 | 2005-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962047670 | Annamarie Kondek | Colon & Rectal Surgery | 100 N Dean Rd Ste 200b, Orlando, FL 32825-3710 | 2019-11-18 |
| 1821645458 | Rs Surgical | Colon & Rectal Surgery | 4608 Swilcan Bridge Ln S, Jacksonville, FL 32224-5620 | 2019-08-19 |
| 1265927297 | South Florida Colorectal Institute Pllc | Colon & Rectal Surgery | 1600 S Federal Hwy Ste 420, Pompano Beach, FL 33062-7531 | 2018-06-22 |
| 1881036440 | Michael Jay Haimo | Colon & Rectal Surgery | 3020 Ne 44th St, Fort Lauderdale, FL 33308-5308 | 2013-07-24 |
| 1083973408 | Marco Ferrara | Colon & Rectal Surgery | 110 W Underwood St Ste A, Orlando, FL 32806 | 2012-05-04 |
| 1760748784 | Juliet June Ray | Colon & Rectal Surgery | 5503 S Congress Ave Ste 206, Atlantis, FL 33462-6626 | 2012-04-03 |
| 1033496401 | Dennis Alan Fried | Colon & Rectal Surgery | 680 Ternberry Forest Dr, The Villages, FL 32162-6446 | 2011-11-12 |
| 1992004600 | Robert John Yu | Colon & Rectal Surgery | 550 Memorial Cir Ste H, Ormond Beach, FL 32174-5055 | 2011-03-21 |
| 1487970679 | Anal Rectal Clinic Pa | Colon & Rectal Surgery | 40124 Highway 27 Ste 203, Davenport, FL 33837-5905 | 2010-04-13 |
| 1629210836 | Amit Sharma | Colon & Rectal Surgery | 2130 E Johnson Ave Ste 130, Pensacola, FL 32514-6065 | 2009-04-02 |
| Find all providers with the same taxonomy | ||||
| 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.