KATHERINE A BOBOTIS (NPI# 1144439431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144439431 |
| Entity Type | Individual |
| Full Name | KATHERINE A BOBOTIS |
| Credential | P.A. |
| Practice Address |
4850 W Oakland Park Blvd Suite 257 Lauderdale Lakes FL 33313-7260 |
| Mailing Address |
5080 Spectrum Dr Suite 1200 West Addison TX 75001-4648 |
| Practice Telephone | 6157784066 |
| Mailing Telephone | 9723648000 |
| Mailing Fax Number | 2147754502 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2010-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 9102214 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4850 W OAKLAND PARK BLVD SUITE 257 |
| City | LAUDERDALE LAKES |
| State | FL |
| Zip Code | 33313-7260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356344493 | Humaira V Khan | Internal Medicine | 4850 W Oakland Park Blvd, Ste 132, Lauderdale Lakes, FL 33313-7268 | 2005-05-23 |
| 1891329868 | Melissa Valdes | Nurse Practitioner | 4850 W Oakland Park Blvd, Lauderdale Lakes, FL 33313-7260 | 2020-02-27 |
| 1083155931 | Sandra Arlenne Llosa Peralta | Physical Therapy Assistant | 4850 W Oakland Park Blvd, Suite 201, Lauderdale Lakes, FL 33313-7260 | 2017-03-12 |
| 1740730688 | Richard B Polakoff Md Pa | Exclusive Provider Organization | 4850 W Oakland Park Blvd, Ste 143, Lauderdale Lakes, FL 33313-7260 | 2016-10-04 |
| 1043765837 | Ereny Hanna | Physical Therapist | 4850 W Oakland Park Blvd, Suite 201, Lauderdale Lakes, FL 33313-7260 | 2016-08-22 |
| 1538522651 | Angela Hayes | Physical Therapy Assistant | 4850 W Oakland Park Blvd, 201, Lauderdale Lakes, FL 33313-7260 | 2016-04-05 |
| 1417314204 | David Tiderman | Physical Therapy Assistant | 4850 W Oakland Park Blvd, Lauderdale Lakes, FL 33313-7260 | 2016-01-25 |
| 1992162820 | Nader Henry | Pharmacist | 4850 W Oakland Park Blvd, Lauderdale Lakes, FL 33313-7260 | 2016-01-22 |
| 1912397464 | Amber Mead | Physical Therapy Assistant | 4850 W Oakland Park Blvd, Suite 201, Lauderdale Lakes, FL 33313-7260 | 2015-02-04 |
| 1386059517 | Blue Water Pain Solutions, Pa | Anesthesiology | 4850 W Oakland Park Blvd, Suite 201, Lauderdale Lakes, FL 33313-7260 | 2014-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306469234 | Deidra D Mcclover | Doula | 4430 Nw 13th Court, Lauderhill, FL 33313 | 2020-05-27 |
| 1043831738 | Mh Cares, LLC | Social Worker | 1165 Nw 45terr., Lauderhill, FL 33313 | 2020-05-04 |
| 1629537139 | International Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 6921 Sunset Strip, Sunrise, FL 33313 | 2019-03-14 |
| 1598232225 | South Shore Opticians Lauderhill Inc. | Technician/Technologist | 1375 I North State Road 7, Lauderhill, FL 33313 | 2018-10-31 |
| 1437630399 | Guy Desanctis | Physical Therapy Assistant | 6530 W. Sunrise Blvd, Plantation, FL 33313 | 2018-08-28 |
| 1710467360 | Radiant Private Care, LLC | In Home Supportive Care | 1480 Nw 52nd Ave, Lauderhill, FL 33313 | 2018-08-14 |
| 1851877435 | Jb and Jb Healthcare LLC | Obstetrics & Gynecology | 3001 Nw 49th Ave Ste 300, Lauderdale Lakes, FL 33313 | 2018-07-17 |
| 1447746441 | Walfrido Roque Pinero | Nurse Practitioner | 6738 W Sunrise Blvd Ste 102, Plantation, FL 33313 | 2018-07-03 |
| 1215421813 | Erika Jorgensen | Counselor | 6299 W Sunrise Blvd # 108, Sunrise, FL 33313 | 2018-06-18 |
| 1750884003 | Mgb Behavioral Health Services | Case Management | 4780 N W 24 Court, C215, Lauderhill, FL 33313 | 2018-03-13 |
| Find all providers in zip 33313 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366501009 | Christine Annmarie Davis-fowler | Physician Assistant | 4410 W. Oakland Park Blvd, Lauderdale Lakes, FL 33313 | 2006-12-08 |
| 1396722997 | Claudine Bedoy | Physician Assistant | 3341 Nw 47th Ter Apt 111, Lauderdale Lakes, FL 33319-6731 | 2005-12-27 |
| 1821695511 | Melissa Schubert | Physician Assistant | 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313-1585 | 2020-10-06 |
| 1760954812 | Kimberly Ferrante California | Physician Assistant | 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313-1585 | 2018-12-28 |
| 1003385519 | Kimeka Mckain- Joseph | Physician Assistant | 4900 W Oakland Park Blvd Ste 101, Lauderdale Lakes, FL 33313-1555 | 2018-11-14 |
| 1750639209 | Holly Kendall Griffith | Physician Assistant | 4850 W Oakland Park Blvd, Suite 143, Lauderdale Lakes, FL 33313-7260 | 2012-08-15 |
| 1487942256 | Riva Konoval | Physician Assistant | 3500 N State Road 7, Ste 211, Lauderdale Lakes, FL 33319-5625 | 2011-07-14 |
| 1669681979 | Sanford R Cohen | Physician Assistant | 4850 W Oakland Park Blvd, Suite 257, Lauderdale Lakes, FL 33313-7260 | 2007-05-22 |
| 1841327590 | Pascale Gehy-andre | Physician Assistant | 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313-1503 | 2007-02-28 |
| 1841369410 | Kirk A Barrett | Physician Assistant | 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313-1503 | 2006-11-07 |
| Find all providers in LAUDERDALE LAKES | ||||
| City | LAUDERDALE LAKES |
| Zip Code | 33313 |
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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.