IVY BOYDSTUN (NPI# 1285671628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285671628 |
| Entity Type | Individual |
| Full Name | IVY BOYDSTUN |
| Credential | MD |
| Practice Address |
1131 N 35th Ave Fl 2 Hollywood FL 33021 |
| Mailing Address |
2900 Corporate Way Door D Miramar FL 33025-3925 |
| Practice Telephone | 9542659344 |
| Practice Fax Number | 9549865122 |
| Mailing Telephone | 9542765685 |
| Mailing Fax Number | 9549857074 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2018-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
ME101007 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 000070000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 900 Glades Rd Ste 501, Boca Raton, FL 334316421 | 9542659344 | 9549865122 |
| Street Address |
1131 N 35TH AVE FL 2 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124536776 | Amanda R Grieco | Nurse Practitioner | 1131 N 35th Ave Fl 2, Hollywood, FL 33021-5403 | 2018-01-17 |
| 1649510017 | Francis Jeshira Reynoso | Medical Genetics | 1131 N 35th Ave Fl 2, Hollywood, FL 33021 | 2013-02-22 |
| 1972703676 | Roman Yusupov | Medical Genetics | 1131 N 35th Ave Fl 2, Hollywood, FL 33021-5403 | 2007-07-20 |
| 1205850732 | Christopher C Chang | Allergy & Immunology | 1131 N 35th Ave Fl 2, Hollywood, FL 33021 | 2006-07-27 |
| 1689694119 | Paul Benke | Medical Genetics | 1131 N 35th Ave Fl 2, Hollywood, FL 33021 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| Taxonomy Code | 2080P0210X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Nephrology |
| A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437197373 | Reem Hussni Raafat | Pediatrics | 1131 N 35th Ave Ste 210, Hollywood, FL 33021 | 2006-06-03 |
| 1740278209 | Michael Freundlich | Pediatrics | 3427 Johnson St, Hollywood, FL 33021-5420 | 2005-10-10 |
| 1235472572 | Karezhe Tigineh Mersha | Pediatrics | 1131 N 35th Ave Ste 210, Hollywood, FL 33021 | 2013-04-05 |
| 1467468496 | South Broward Hospital District | Pediatrics | 1131 N 35th Ave Ste 210, Hollywood, FL 33021-5403 | 2006-07-31 |
| 1598785479 | Alex Constantinescu | Pediatrics | 1131 N 35th Ave Ste 210, Hollywood, FL 33021-5403 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114301736 | Harold Marder | Pediatrics | 14030 Old Cypress Bnd, Palm Beach Gardens, FL 33410-1121 | 2015-07-14 |
| 1366715799 | Frank William Ayestaran Cassani | Pediatrics | 17 Davis Blvd Ste 200, Tampa, FL 33606-3438 | 2012-02-15 |
| 1356655187 | Omer Mansoor | Pediatrics | 5325 Greenwood Ave Ste 204, West Palm Beach, FL 33407-2452 | 2010-08-04 |
| 1174848378 | Jessica M Rodriguez | Pediatrics | 13101 Bruce B Dwn Blvd # 105, Tampa, FL 33612-3803 | 2010-03-30 |
| 1376552760 | Felix I. Ramirez-seijas | Pediatrics | 3200 Sw 60th Ct Ste 304, Miami, FL 33155-4071 | 2006-08-05 |
| 1629094735 | Irina F Gershin-stevens | Pediatrics | 15901 Bass Rd Ste 102, Fort Myers, FL 33908-3838 | 2006-07-14 |
| 1225060908 | Larry T Patterson | Pediatrics | 1600 Sw Archer Rd # 100296, Gainesville, FL 32610 | 2006-07-06 |
| 1215965595 | Robert S. Mathias | Pediatrics | 1717 S. Orange Ave., Suite 100, Orlando, FL 32806-2946 | 2006-06-28 |
| 1922055615 | Ana L Paredes | Pediatrics | 6200 Sunset Dr Ste 303, South Miami, FL 33143-4829 | 2006-05-28 |
| 1649748880 | Amanda Cook | Pediatrics | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2018-11-06 |
| Find all providers with the same taxonomy | ||||
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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.