DEDICATED PHYSICIANS GROUP OF TENNESSEE, PLLC (NPI# 1174144695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174144695 |
| Entity Type | Organization |
| Organization Name | DEDICATED PHYSICIANS GROUP OF TENNESSEE, PLLC |
| Practice Address |
1395 Nw 167th St Miami FL 33169-5710 |
| Practice Telephone | 3056286117 |
| Mailing Telephone | 3056286117 |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2020-05-06 |
| Authorized Official Name | MARY CHEN (OWNER) |
| Authorized Official Telephone | 3056286117 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Other Name | Type Code |
|---|---|
| Dedicated Senior Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634575 | Dedicated Physicians Group of Tennessee, Pllc | Non-Pharmacy Dispensing Site | 2252 Lamar Ave, Memphis, TN 38114-6608 | 2020-03-16 |
| 1245866896 | Dedicated Physicians Group of Tennessee, Pllc | Non-Pharmacy Dispensing Site | 5131 Quince Rd, Memphis, TN 38117-6846 | 2020-03-16 |
| 1891328993 | Dedicated Physicians Group of Tennessee, Pllc | Non-Pharmacy Dispensing Site | 1056 E Raines Rd, Memphis, TN 38116-6337 | 2020-02-17 |
| Street Address |
1395 NW 167TH ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33169-5710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174844781 | Surgey Center of North Dade, LLC | Clinic/Center | 1395 Nw 167th St, Miami, FL 33169-5742 | 2010-06-17 |
| 1457968927 | Kenisha Adderley | Pharmacist | 1395 Nw 167th St, Miami, FL 33169-5710 | 2020-09-28 |
| 1477163442 | Jennifer Aka | Pharmacist | 1395 Nw 167th St, Miami, FL 33169-5710 | 2020-08-05 |
| 1538798483 | Dedicated Columbus Ohio, LLC | Internal Medicine | 1395 Nw 167th St, Miami, FL 33169-5710 | 2020-04-03 |
| 1922631019 | Dedicated Ohio Holding LLC | Internal Medicine | 1395 Nw 167th St, Miami, FL 33169-5710 | 2020-02-17 |
| 1063045235 | Dedicated Tennessee Holding LLC | Internal Medicine | 1395 Nw 167th St, Miami, FL 33169-5710 | 2020-02-17 |
| 1487043436 | Cardiology Management Resources, LLC | Internal Medicine | 1395 Nw 167th St, Miami, FL 33169-5742 | 2015-01-14 |
| 1851793269 | Primary Management Resources LLC | Clinic/Center | 1395 Nw 167th St, Miami, FL 33169-5742 | 2014-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265122 | Monarch Mental Health Services, LLC | Physician Assistant | 648 Nw 183 St, Miami, FL 33169 | 2020-05-04 |
| 1871158873 | Positive Point Inc | Substance Abuse Rehabilitation Facility | 111 Nw 183rd Street Suite 423, Miami, FL 33169 | 2019-05-06 |
| 1447736251 | Anoshah Justine Pierre | Nurse Practitioner | 580 Nw 189th Street, Miami, FL 33169 | 2018-07-15 |
| 1770074627 | Jorge E Quinzada | Occupational Therapist | 18350 Nw 2ave, Miami, Gardens,fl, FL 33169 | 2018-05-27 |
| 1043700578 | South Beach Detox LLC | Substance Abuse Rehabilitation Facility | 85 Nw 168th St, North Miami Beach, FL 33169 | 2018-05-10 |
| 1689197972 | Misurez Medical Center Corp | General Practice | 18350 Nw 2 Ave, 622, Miami Gardens, FL 33169 | 2017-07-19 |
| 1831619733 | Barbara C Chacon | Behavior Technician | 130 Nw 191 St, Miami, FL 33169 | 2017-06-21 |
| 1780041665 | Elizabeth Lovette Ugokwe | Registered Nurse | 330 North Biscayne River Drive, Miami, FL 33169 | 2016-01-22 |
| 1205221207 | Cristina Dou | Family Medicine | Vitas Hospice 16800 Nw 2nd Ave, Suite 400, Miami Beach, FL 33169 | 2015-04-06 |
| 1457757635 | Anthony Richard Denbow | Assisted Living Facility | 1074 Nw 153 Street, Miami, FL 33169 | 2014-11-14 |
| Find all providers in zip 33169 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857339 | Chen Neighborhood Medical Centers of South Florida, LLC | Non-Pharmacy Dispensing Site | 2445 Nw 62nd St, Miami, FL 33147-7740 | 2020-10-05 |
| 1760091078 | West Kendall Baptist Hospital, Inc. | Non-Pharmacy Dispensing Site | 14591 Sw 26th St, Miami, FL 33175-8038 | 2020-07-23 |
| 1740825256 | West Kendall Baptist Hospital Inc | Non-Pharmacy Dispensing Site | 14150 Sw 136 Street, Miami, FL 33186 | 2019-11-08 |
| 1609426568 | Baptist Hospital of Miami Inc. | Non-Pharmacy Dispensing Site | 13101 N Kendall Dr, Miami, FL 33186-1748 | 2019-09-12 |
| 1649820598 | Baptist Hospital of Miami Inc. | Non-Pharmacy Dispensing Site | 14660 Sw 8th St Ste 100, Miami, FL 33184-3135 | 2019-09-12 |
| 1932647906 | Holiday Cvs LLC | Non-Pharmacy Dispensing Site | 12000 Sw 8th St, Miami, FL 33184-1634 | 2017-02-09 |
| 1265822142 | Planned Parenthood of South Florida & The Treasure Coast | Non-Pharmacy Dispensing Site | 585 Nw 161st St, Miami, FL 33169-6314 | 2015-01-29 |
| 1730501081 | Juan M Garces Md Pa | Non-Pharmacy Dispensing Site | 14150 Sw 119th Ave, Suite 102, Miami, FL 33186-6012 | 2014-01-06 |
| 1295078186 | Community Health of South Florida, Inc. | Non-Pharmacy Dispensing Site | 13540 Sw 135th Ave, Miami, FL 33186-6184 | 2013-03-29 |
| 1144561168 | Gilly Perez, Md | Non-Pharmacy Dispensing Site | 8955 Sw 87th Ct., Suite 204, Miami, FL 33176 | 2013-03-15 |
| Find all providers in MIAMI | ||||
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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.