LAWRENCE LOTTENBERG MD PA (NPI# 1851755383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851755383 |
| Entity Type | Organization |
| Organization Name | LAWRENCE LOTTENBERG MD PA |
| Practice Address |
3375 Burns Rd Suite 206 Palm Beach Gardens FL 33410-4349 |
| Practice Telephone | 5617999559 |
| Practice Fax Number | 5617999577 |
| Mailing Telephone | 5617999559 |
| Mailing Fax Number | 5617999577 |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-04-11 |
| Authorized Official Name | LAWRENCE LOTTENBERG (OWNER) |
| Authorized Official Telephone | 5617999559 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
ME0027008 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 039175100 | 05 |
| Street Address |
3375 BURNS RD SUITE 206 |
| City | PALM BEACH GARDENS |
| State | FL |
| Zip Code | 33410-4349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609841717 | Richard Mark Dwoskin | Internal Medicine | 3375 Burns Rd, #208, Palm Beach Gardens, FL 33410-4361 | 2006-02-22 |
| 1902386998 | Shelby Jo Barnett | Registered Nurse | 3375 Burns Rd, Palm Beach Gardens, FL 33410-4349 | 2018-08-19 |
| 1689109829 | Matthew M. Ramseyer, M.d., Pllc | Surgery | 3375 Burns Rd, Suite 206, Palm Beach Gardens, FL 33410-4349 | 2017-04-25 |
| 1366989949 | Sandi Barnes | Counselor | 3375 Burns Rd, Suite 201, Palm Beach Gardens, FL 33410-4349 | 2017-01-20 |
| 1699218412 | Weisz Medical Services LLC | Family Medicine | 3375 Burns Rd, Palm Beach Gardens, FL 33410-4349 | 2016-11-28 |
| 1831648492 | Mario Rueda Md Pllc | Surgery | 3375 Burns Rd, Palm Beach Gardens, FL 33410-4349 | 2016-09-23 |
| 1528492675 | Steven Svabek, Do | Non-Pharmacy Dispensing Site | 3375 Burns Rd, Suite 108, Palm Beach Gardens, FL 33410-4349 | 2013-08-26 |
| 1245663467 | Naveed Shafi, Md | Non-Pharmacy Dispensing Site | 3375 Burns Rd, Suite 108, Palm Beach Gardens, FL 33410-4349 | 2013-08-12 |
| 1275881724 | Alan Dautch. Pa | Chiropractor | 3375 Burns Rd, Suite 108, Palm Beach Gardens, FL 33410-4349 | 2012-08-15 |
| 1427319060 | Robert Borrego, M.d., P.a. | Surgery | 3375 Burns Rd, Suite 206, Palm Beach Gardens, FL 33410-4349 | 2012-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501026 | Vicky Pauline Salazar | Registered Nurse | 11501 N Military Trail, Palm Beach Gardens, FL 33410 | 2020-09-04 |
| 1417596388 | Chavon E Mayer | Doula | 149 Winter Park Lane, West Palm Beach, FL 33410 | 2019-12-24 |
| 1639711617 | Diamond Physical Therapy, LLC | Physical Therapist | 4025 Johnson Dairy Road, Palm Beach Gardens, FL 33410 | 2019-10-11 |
| 1689151714 | Caroline Devries Hesterman | Occupational Therapist | 9840 Alternate A1a Ste 402, Palm Beach Gardens, FL 33410 | 2018-07-21 |
| 1366937088 | Krystal Maya Khemkaran | Behavior Technician | 2979 Pga Blvd # 200, Palm Beach Gardens, FL 33410 | 2018-06-25 |
| 1548762552 | Arsenia Pomperada Sabusap | Nurse Practitioner | Grace Medical Center of Florida, 4212 Northlake Blvd., Palm Beach Gardens, FL 33410 | 2018-03-06 |
| 1538668199 | Alan Seidenfeld | Dentist | 7305 N Military Trl 3a-200, Riviera Beach, FL 33410 | 2018-02-08 |
| 1407361454 | Nuvista Living At Jupiter, LLC | Skilled Nursing Facility | 338 Pioneer Road, Jupiter, FL 33410 | 2017-12-12 |
| 1083125728 | Tom Long Biddle-xing | Nurse Practitioner | 3345 Burns Rd Ste 206, Palm Beach Gardens, FL 33410 | 2017-10-20 |
| 1801315189 | Kasie Sidman | Physical Therapist | 3929 Bluebell St, Palm Beach Gardens, FL 33410 | 2017-09-18 |
| Find all providers in zip 33410 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316501505 | Faris K. Azar, M.d., Pllc | Surgery | 3375 Burns Rd Ste 206, Palm Beach Gardens, FL 33410-4361 | 2019-04-24 |
| 1427319060 | Robert Borrego, M.d., P.a. | Surgery | 3375 Burns Rd, Suite 206, Palm Beach Gardens, FL 33410-4349 | 2012-05-30 |
| 1841526043 | Teo Lama Md Pa | Surgery | 3375 Burns Rd, Suite 206, Palm Beach Gardens, FL 33410-4349 | 2009-10-22 |
| 1326203902 | Ahmed El-haddad Md P A | Surgery | 3375 Burns Road, Suite 206, Palm Beach Gardens, FL 33410 | 2008-07-23 |
| 1659410652 | Palm Beach Trauma Associates | Surgery | 3375 Burns Road, Suite 206, Palm Beach Gardens, FL 33410-4361 | 2007-02-06 |
| 1841354065 | Michael Wickliffe West | Surgery | 3375 Burns Rd, Suite 206, Palm Beach Gardens, FL 33410-4349 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619422607 | Shawn A. Mcclure Dmd, Md | Surgery | 8755 Sw 57th Pl, Cooper City, FL 33328-5921 | 2016-08-18 |
| 1326434556 | Kyle Leneweaver | Surgery | 5151 N 9th Ave # 305, Pensacola, FL 32504-8721 | 2015-04-14 |
| 1093063869 | Ocala Health Trauma, LLC | Surgery | 205 Se 14th Pl, Ocala, FL 34471-4341 | 2012-08-27 |
| 1912262544 | Injury Management, LLC | Surgery | 4010 Nw 100th Ave, Coral Springs, FL 33065-1549 | 2012-07-10 |
| 1558664987 | Moshe Stav Md Pa | Surgery | 1550 Ponce De Leon Dr, 3200 S. University Dr, Rm 7374, Fort Lauderdale, FL 33316-1324 | 2010-12-07 |
| 1154589786 | Meredith Lynn Shaddix | Surgery | 5153 North 9th Avenue, Suite 305, Pensacola, FL 32504 | 2008-05-30 |
| 1760681225 | Omar Mahmoud El-sheikh | Surgery | 801 E. 6th Street, Suite 602, Panama City, FL 32401-3663 | 2007-07-15 |
| 1689710279 | Thomas Anthony Abbruzzese | Surgery | 1654 Village Center Dr Apt 207, Lakeland, FL 33803-2892 | 2007-01-30 |
| 1003900952 | Meredith Tinti | Surgery | 3627 University Blvd S Ste 500, Jacksonville, FL 32216-7405 | 2006-10-03 |
| 1194748947 | James Carver Boyd | Surgery | 2280 N 9th Ave, Pensacola, FL 32503-3949 | 2006-07-25 |
| Find all providers with the same taxonomy | ||||
| City | PALM BEACH GARDENS |
| Zip Code | 33410 |
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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.