DR. EZRA A BERKOWITZ (NPI# 1104009067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104009067 |
| Entity Type | Individual |
| Full Name | DR. EZRA A BERKOWITZ |
| Credential | M.D. |
| Practice Address |
180 Jfk Dr Ste 100 Atlantis FL 33462-6641 |
| Practice Telephone | 5619676500 |
| Practice Fax Number | 5614720467 |
| Mailing Telephone | 5619676500 |
| Mailing Fax Number | 5614334175 |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
ME106116 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 002397500 | 05 | |
| NPI | 1104009067 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1221 S State Road 7 Ste 200, Wellington, FL 334146212 | 5616976500 | |
| 10275 Hagen Ranch Rd Ste 200, Boynton Beach, FL 334373784 | 5616976500 |
| Street Address |
180 JFK DR STE 100 |
| City | ATLANTIS |
| State | FL |
| Zip Code | 33462-6641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164476701 | Charles W Graubert | Physical Medicine & Rehabilitation | 180 Jfk Dr Ste 100, Atlantis, FL 33462-6641 | 2006-05-19 |
| 1760027791 | Nicholas Morgan | Physician Assistant | 180 Jfk Dr Ste 100, Atlantis, FL 33462-6641 | 2019-11-13 |
| 1720490105 | Brandon Shallop | Orthopaedic Surgery | 180 Jfk Dr Ste 100, Atlantis, FL 33462-6641 | 2014-05-20 |
| 1881957868 | Joseph Alexis Quinones | Anesthesiology | 180 Jfk Dr Ste 100, Atlantis, FL 33462-6641 | 2012-06-24 |
| 1598031536 | Brittany Quinn Ester | Occupational Therapy Assistant | 180 Jfk Dr Ste 100, Atlantis, FL 33462-6641 | 2012-03-23 |
| 1649571498 | Joseph W Foldessy | Physician Assistant | 180 Jfk Dr Ste 100, Atlantis, FL 33462-6641 | 2010-11-10 |
| 1205008109 | Jason Billinghurst | Orthopaedic Surgery | 180 Jfk Dr Ste 100, Atlantis, FL 33462-6641 | 2008-03-31 |
| 1437349248 | Michael Alan Cohn | Orthopaedic Surgery | 180 Jfk Dr Ste 100, Atlantis, FL 33462-6641 | 2007-07-27 |
| 1609075316 | Sue Shin Cohn | Anesthesiology | 180 Jfk Dr Ste 100, Atlantis, FL 33462-6641 | 2007-07-12 |
| 1841346426 | Juan Agudelo-rivera | Orthopaedic Surgery | 180 Jfk Dr Ste 100, Atlantis, FL 33462-6641 | 2007-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449503 | Brightlife Institute, LLC | Clinic/Center | 2315 Shimmery Lane, Lake Worth, FL 33462 | 2020-05-20 |
| 1760024988 | Woodelyne Marc | Home Health | 1307 Flamingo Dr, Lantan, FL 33462 | 2019-10-09 |
| 1336624428 | Jennifer Lynn Jones | Nurse Practitioner | 5401 S Congress Ave Ste 105, Atlantis, FL 33462 | 2018-09-25 |
| 1427548445 | Publix Super Markets, Inc. | Pharmacy | 262 S Ocean Blvd, Manalapan, FL 33462 | 2018-05-15 |
| 1629567474 | Perfection Rx LLC | Pharmacy | 3248 Lantana Rd, Lake Worth, FL 33462 | 2018-05-08 |
| 1942797824 | Mayra Alejandra Tovar Castro | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-17 |
| 1285131169 | Samar Ibrahim Mohamed Huss Aboulenain | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-09 |
| 1801392535 | Carla Ortega | Student in an Organized Health Care Education/Training Program | 180 Jkf Drive, Suite 210, Atlantis, FL 33462 | 2018-04-02 |
| 1811427438 | Sonia Camille | Behavior Technician | 49 Sioux Ln, Lantana, FL 33462 | 2017-06-15 |
| 1922536648 | Alyzza De La Uz Forte | Nurse Practitioner | 180 John F Kennedy Dr, 311, Atlantis, FL 33462 | 2017-05-25 |
| Find all providers in zip 33462 | ||||
| Taxonomy Code | 207XP3100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Pediatric Orthopaedic Surgery |
| An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447898580 | North Broward Hospital District | Orthopaedic Surgery | 3100 Coral Hills Dr Ste 202, Coral Springs, FL 33065-4139 | 2019-12-19 |
| 1952662355 | Scoliosis & Pediatric Ortho Pa | Orthopaedic Surgery | 6370 N State Road 7, Suite 100, Coconut Creek, FL 33073-3606 | 2012-06-01 |
| 1144422486 | Hallandale Beach Orthopedics, Inc. | Orthopaedic Surgery | 1250 E Hallandale Beach Blvd Ste 700, Hallandale Beach, FL 33009-4641 | 2007-05-31 |
| 1427259076 | Davida Packer | Orthopaedic Surgery | 901 45th St Kimmel Bldg, West Palm Beach, FL 33407-2413 | 2007-05-30 |
| 1124249511 | Jeffrey Alan Crastnopol | Orthopaedic Surgery | 3405 Saddlebrook Ln, Weston, FL 33331-3034 | 2007-05-01 |
| 1386786838 | Pediatric Orthopedics of Southwest Florida | Orthopaedic Surgery | 15821 Hollyfern Court, Fort Myers, FL 33908 | 2007-02-13 |
| 1134290414 | Luis Edgardo Kortright | Orthopaedic Surgery | 4600 N Habana Ave Ste 6, Tampa, FL 33614-7123 | 2006-11-10 |
| 1205862745 | Raymund Woo | Orthopaedic Surgery | 2501 N Orange Ave Ste 514, Orlando, FL 32804-4674 | 2006-06-25 |
| 1568424075 | David Siambanes | Orthopaedic Surgery | 3003 E. Dr. Martin Luther King Jr. Blvd., Mab-3rd Floor, Tampa, FL 33607-6307 | 2006-04-03 |
| 1740282292 | Randolph Cohen | Orthopaedic Surgery | 5830 Coral Ridge Dr Ste 207, Coral Springs, FL 33076 | 2005-08-15 |
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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.