St. George Spinal Clinic PA
NPI 1609898683 · Internal Medicine Physician · Lauderdale Lakes, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
St. George Spinal Clinic PA is a Internal Medicine Physician organization in Lauderdale Lakes, FL (NPI 1609898683).
Provider details
- NPI number
- 1609898683
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Wagdy Tadros, Physician(954) 486-1966
- License
- ME65248 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-25
- Last updated
- 2011-08-26
Frequently asked questions
- What is St. George Spinal Clinic PA's NPI number?
- St. George Spinal Clinic PA's National Provider Identifier (NPI) is 1609898683, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St. George Spinal Clinic PA?
- St. George Spinal Clinic PA is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is St. George Spinal Clinic PA located?
- St. George Spinal Clinic PA's practice location on file with NPPES is 4469 N State Road 7, Lauderdale Lakes, FL 33319-5876.
- What is St. George Spinal Clinic PA's phone number?
- The practice phone number listed in the NPPES registry for St. George Spinal Clinic PA is (954) 486-1966.
- Does St. George Spinal Clinic PA accept Medicare?
- St. George Spinal Clinic PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for St. George Spinal Clinic PA?
- The authorized official listed on St. George Spinal Clinic PA's NPPES record is Wagdy Tadros, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St. George Spinal Clinic PA's NPI active?
- Yes — St. George Spinal Clinic PA's NPI (1609898683) is active in the NPPES registry as of the last update on 2011-08-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.