GLEN E SUTHERLAND MD PA (NPI# 1326102252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326102252 |
| Entity Type | Organization |
| Organization Name | GLEN E SUTHERLAND MD PA |
| Practice Address |
1930 Ne 47th St Suite 301 Fort Lauderdale FL 33308-7718 |
| Practice Telephone | 9547726781 |
| Practice Fax Number | 9547726793 |
| Mailing Telephone | 9547726781 |
| Mailing Fax Number | 9547726793 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2009-08-21 |
| Authorized Official Name | DR. GLEN EDWARD SUTHERLAND (PHYSICIAN) |
| Authorized Official Telephone | 9547726781 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
30881 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 037094100 | 05 |
| Street Address |
1930 NE 47TH ST SUITE 301 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33308-7718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861489056 | Matthew R. Moore | Neurological Surgery | 1930 Ne 47th St, Suite 200, Fort Lauderdale, FL 33308-7718 | 2005-10-03 |
| 1265980601 | Nicole Ann Puleo | Nurse Practitioner | 1930 Ne 47th St, Suite 200, Fort Lauderdale, FL 33308-7718 | 2016-09-14 |
| 1215363593 | Beth Camhi-greenberg | Nurse Practitioner | 1930 Ne 47th St, Suite 309, Fort Lauderdale, FL 33308 | 2013-09-19 |
| 1821153867 | Fort Lauderdale Pain Medicine, Inc. | Specialist | 1930 Ne 47th St, Suite 300, Fort Lauderdale, FL 33308-7718 | 2006-12-27 |
| 1649249756 | Marcos Szeinfeld | Pain Medicine | 1930 Ne 47th St, Fort Lauderdale, FL 33308-7729 | 2006-03-14 |
| 1063409258 | F Gary Gieseke | Neurological Surgery | 1930 Ne 47th St, Suite 200, Fort Lauderdale, FL 33308-7718 | 2005-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558788 | Marina Silva Ferreira | Student in an Organized Health Care Education/Training Program | Univ of Miami Miller School of Med Holy Cross Hospital, 4725 N Federal Highway, Fort Lauderdale, FL 33308 | 2020-05-06 |
| 1013538040 | Mehak Bansal | Student in an Organized Health Care Education/Training Program | 4725 N Federal Highway University of Miami, Miller School of Medicine Holy Cross Hospital Internal, Fort Lauderdale, FL 33308 | 2020-04-30 |
| 1285269266 | Roman Castell | Massage Therapist | 2480 E Commercial Blvd Ste 3, Fort Lauderdale, FL 33308 | 2020-03-10 |
| 1124667969 | Icarevip, Inc | Internal Medicine | 4800 N. Federal Highway, Suite 200, Fort Lauderdale, FL 33308 | 2019-12-26 |
| 1629612932 | Lana A Simmonds | Nurse Practitioner | 4390 N. Federal Hwy, Unit 101, Fort Lauderdale, FL 33308 | 2019-10-30 |
| 1063997260 | Kneaded Therapy, Inc | Physical Medicine & Rehabilitation | 2746 E Commerical Blvd., Ft. Lauderdale, FL 33308 | 2018-10-03 |
| 1518452184 | Colleen Lynn Culbertson | Nurse Anesthetist, Certified Registered | 1930 Ne 47th St Ste 308, Ft Lauderdale, FL 33308 | 2018-06-26 |
| 1962910562 | Healing Therapy Center Pllc | Social Worker | Healing Therapy, 1919 Ne 45th Street, Suite 225, Ft. Lauderale, FL 33308 | 2018-01-17 |
| 1376066647 | Carlos Jose Garcia | Student in an Organized Health Care Education/Training Program | 4725 North Federal Highway Suite 501, Fort Lauderdale, FL 33308 | 2017-07-19 |
| 1407381940 | Heather Hickson Lac LLC | Clinic/Center | 5353 North Federal Highway, Ste 220, Fort Lauderdale, FL 33308 | 2017-04-21 |
| Find all providers in zip 33308 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649456997 | North Broward Hospital District | Internal Medicine | 1600 S Andrews Ave Fl 8, Fort Lauderdale, FL 33316-2510 | 2008-01-17 |
| 1992902753 | Carlos O Guerra | Internal Medicine | 5601 N. Dixie Highway, Suite #107, Fort Lauderdale, FL 33334 | 2007-06-27 |
| 1356544795 | Jerry F Ondrusek Md Pa | Internal Medicine | 2817 E Oakland Park Blvd, Suite 100, Fort Lauderdale, FL 33306-1889 | 2007-06-05 |
| 1396799383 | Jaroslav F Ondrusek | Internal Medicine | 2817 East Oakland Park Blvd, Suite 100, Fort Lauderdale, FL 33306-1889 | 2006-05-22 |
| 1144292384 | Glen E Sutherland | Internal Medicine | 1625 Se 3rd Ave Ste 623, Fort Lauderdale, FL 33316-2521 | 2006-02-02 |
| 1841296670 | Stephen A. Renae | Internal Medicine | 4800 Ne 20th Ter, Ste 115, Fort Lauderdale, FL 33308-4510 | 2005-06-27 |
| 1457763740 | North Broward Hospital District | Internal Medicine | 1625 Se 3rd Ave, Suite 601, Fort Lauderdale, FL 33316-2521 | 2014-05-21 |
| 1114366580 | North Broward Hospital District | Internal Medicine | 1625 Se 3rd Avenue, Suite 623, Fort Lauderdale, FL 33316-2521 | 2013-06-19 |
| 1639476633 | Valda Chijide | Internal Medicine | 6451 N Federal Hwy, Suite 800, Fort Lauderdale, FL 33308-1402 | 2011-02-28 |
| 1407163728 | Infections Managed Inc | Internal Medicine | 4800 Ne 20th Terrace, Suite 115, Fort Lauderdale, FL 33308-4510 | 2010-09-08 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33308 |
Please comment or provide details below to improve the information on GLEN E SUTHERLAND MD PA.
| 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.