WEST BOCA PHYSICIANS GROUP INC (NPI# 1255529186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255529186 |
| Entity Type | Organization |
| Organization Name | WEST BOCA PHYSICIANS GROUP INC |
| Practice Address |
21644 State Road 7 Boca Raton FL 33428-1842 |
| Mailing Address |
14050 Nw 14th St Suite 190 Sunrise FL 33323-2865 |
| Practice Telephone | 5618837029 |
| Mailing Telephone | 8004243672 |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2007-12-26 |
| Authorized Official Name | DR. STEPHEN G. HOLTZCLAW (PRESIDENT) |
| Authorized Official Telephone | 8004243672 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS OF FLORIDA | 98221 | 01 |
| Street Address |
21644 STATE ROAD 7 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33428-1842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285629246 | Sterling Emergency Physicians of West Boca Pa | Emergency Medicine | 21644 State Road 7, Boca Raton, FL 33428-1842 | 2005-09-15 |
| 1366050569 | Rachael Nicole Norman | Nurse Practitioner | 21644 State Road 7, Boca Raton, FL 33428-1842 | 2020-07-14 |
| 1215405089 | Brittany Layne Lara | Nurse Practitioner | 21644 State Road 7, Boca Raton, FL 33428-1842 | 2018-11-08 |
| 1417300492 | Carly Strong | Registered Nurse | 21644 State Road 7, Boca Raton, FL 33428-1842 | 2016-07-14 |
| 1902243371 | West Boca Admissions LLC | Family Medicine | 21644 State Road 7, Boca Raton, FL 33428-1842 | 2013-05-26 |
| 1174876130 | Sunflower Care Center | Internal Medicine | 21644 State Road 7, Boca Raton, FL 33428-1842 | 2012-10-16 |
| 1255689402 | Sheridan Radiology Services of South Florida, Inc. | Radiology | 21644 State Road 7, Boca Raton, FL 33428-1842 | 2012-08-20 |
| 1003109547 | Greater Florida Emergency Group, LLC | Emergency Medicine | 21644 State Road 7, Boca Raton, FL 33428-1842 | 2011-05-17 |
| 1396044160 | Matthew Marques | Family Medicine | 21644 State Road 7, Boca Raton, FL 33428-1842 | 2011-03-19 |
| 1851551766 | Peter N Okolo Jr. | Radiology | 21644 State Road 7, Boca Raton, FL 33428 | 2008-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174016604 | Eliane Dos Santos Lamarche | Behavior Technician | 11514 Country Sound Ct, Boca Raton, FL 33428 | 2018-06-09 |
| 1447740840 | Wilzade Joseph | Assisted Living Facility | 22319 Sw 65th Ave, Boca Raton, FL 33428 | 2018-05-11 |
| 1477065316 | Pamela Manning | Nurse Practitioner | 9864 Grand Verde Way Apt 1507, Boca Raton, FL 33428 | 2017-11-01 |
| 1912428624 | Carole Mandat | Assistant Behavior Analyst | 11083 Baybreeze Way, Boca Raton, FL 33428 | 2017-07-03 |
| 1679025571 | Tam Thu Tran | Physician Assistant | 22864 Neptune Road, Boca Raton, FL 33428 | 2016-10-27 |
| 1922458355 | Zurab Akakievich Iosava | Specialist/Technologist, Other | 21644 State Road 7. (hwy 441), Boca Raton, FL 33428 | 2016-06-16 |
| 1497125280 | Robert Jay Drimmer | Internal Medicine | 21357 Bridgeview Drive, Boca Raton, FL 33428 | 2015-10-06 |
| 1710391966 | Pathway 2 Recovery Gold Coast | Clinic/Center | 23116a Sandal Foot Plaza Drive, Boca Raton, FL 33428 | 2014-06-16 |
| 1134564727 | Mary Margaret Spitzer | Nurse Practitioner | 9980 Central Park Blvdn, Boca Ration, FL 33428 | 2013-05-08 |
| 1619312816 | Alan Wasserman | Dentist | 22053 S.r. 7, Boca Raton, FL 33428 | 2013-05-02 |
| Find all providers in zip 33428 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194792234 | Samantha Cartledge | Hospitalist | 800 Meadows Rd Ste 504, Boca Raton, FL 33486-2304 | 2006-03-08 |
| 1548269178 | Valentyn Tyulmenkov | Hospitalist | 263 Nw 70th St, Boca Raton, FL 33487-2392 | 2005-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053927632 | Leonor Balart | Hospitalist | 4302 W Carmen St Unit 5, Tampa, FL 33609-2270 | 2020-09-19 |
| 1114484813 | Best Medical LLC | Hospitalist | 11604 Orange Palm Way, Tampa, FL 33626-4746 | 2019-02-28 |
| 1053878157 | Hospitalists One, LLC | Hospitalist | 900 S Pine Island Rd Ste 205, Plantation, FL 33324-3920 | 2019-02-25 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1538652979 | Geobel Buchillon | Hospitalist | 4308 Alton Rd Ste 860, Miami Beach, FL 33140-4558 | 2018-06-11 |
| 1619469483 | Hospitalis10 Inc | Hospitalist | 5000 W Oklnd Prk Blvd, Lauderdale Lakes, FL 33313-1503 | 2018-06-06 |
| 1013404706 | Florida Medical Professionals LLC | Hospitalist | St. Mary's Medical Center 901 45th Street, West Palm Beach, FL 33407 | 2018-04-18 |
| 1467965947 | Acure Medical Group Corp | Hospitalist | 1261 Sw 153rd Path, Miami, FL 33194-2678 | 2017-11-07 |
| 1760992317 | Casey Miller | Hospitalist | 400 Health Park Blvd Ste 221, St Augustine, FL 32086-5784 | 2017-10-10 |
| 1720598741 | Gabrielle Mount Borrero | Hospitalist | 1611 Nw 12th Ave Rm 316e, Miami, FL 33136-1005 | 2017-10-04 |
| Find all providers with the same taxonomy | ||||
| City | BOCA RATON |
| Zip Code | 33428 |
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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.