VARIETY CHILDREN'S HOSPITAL (NPI# 1386057362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386057362 |
| Entity Type | Organization |
| Organization Name | VARIETY CHILDREN'S HOSPITAL |
| Other Organization Name | MCH SPECIALIST |
| Practice Address |
1265 Creekside Pkwy Suite 200 Naples FL 34108-1946 |
| Mailing Address |
Po Box 863941 Orlando FL 32886-3941 |
| Practice Telephone | 3056628334 |
| Mailing Telephone | 3056628334 |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2014-10-29 |
| Authorized Official Name | TIMOTHY BIRKENSTOCK (SENIOR VP & CFO) |
| Authorized Official Telephone | 3056696422 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MCH Specialist | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386143485 | Variety Children's Hospital | Clinic/Center | 2072 Ne 8th St, Homestead, FL 33033-4702 | 2018-02-05 |
| 1972013373 | Variety Children's Hospital | Clinic/Center | 990 W 49th St, Hialeah, FL 33012-3405 | 2017-10-11 |
| 1154850709 | Variety Children's Hospital | Clinic/Center | 11521 S Dixie Hwy, Pinecrest, FL 33156-4445 | 2017-06-07 |
| 1326402363 | Variety Children's Hospital | Clinic/Center | 10 Se Central Pkwy, Suite 222, Stuart, FL 34994-5913 | 2016-04-06 |
| 1033594049 | Variety Children's Hospital | Clinic/Center | 1 Seminole Way, Hollywood, FL 33314-6407 | 2015-07-21 |
| 1083099022 | Variety Children's Hospital | Clinic/Center | 5223 Orient Rd, Tampa, FL 33610-4114 | 2015-07-20 |
| 1457736407 | Variety Children's Hospital | Clinic/Center | 3370 Forest Hill Blvd, West Palm Beach, FL 33406-5870 | 2015-07-20 |
| 1841675881 | Variety Children's Hospital | Clinic/Center | 9487 Regency Square Blvd, Jacksonville, FL 32225-8183 | 2015-07-20 |
| 1730561481 | Variety Children's Hospital | Clinic/Center | 11449 Sw 40th St, Miami, FL 33165-3311 | 2015-06-18 |
| 1982006391 | Variety Children's Hospital | Clinic/Center | 8895 Sw 136th St, Miami, FL 33176-5816 | 2014-09-17 |
| Street Address |
1265 CREEKSIDE PKWY SUITE 200 |
| City | NAPLES |
| State | FL |
| Zip Code | 34108-1946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013926898 | Kim Shimoda | Psychologist | 1265 Creekside Pkwy, Ste 200, Naples, FL 34108-1954 | 2006-08-07 |
| 1316152226 | Collier Health Services Inc | Pediatrics | 1265 Creekside Pkwy, Suite 208, Naples, FL 34108-1946 | 2007-05-14 |
| 1407061310 | Collier Health Services Inc | Clinic/Center | 1265 Creekside Pkwy, Suite 208, Naples, FL 34108-1936 | 2007-05-14 |
| 1235221607 | Rosemarie Anne Pezzullo | Pediatrics | 1265 Creekside Pkwy, Suite 208, Naples, FL 34108-1946 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417422262 | Alejandra Herrera Munoz | Occupational Therapist | 646 103rd Ave N, Naples, FL 34108 | 2018-10-08 |
| 1912402983 | Cvs Aoc Services, L.L.C. | Audiologist-Hearing Aid Fitter | 8863h Tamiami Trl N, Naples, FL 34108 | 2018-03-29 |
| 1861886863 | Zounds Hearing | Durable Medical Equipment & Medical Supplies | 9331 Tamiami Trail, Naples, FL 34108 | 2015-03-27 |
| 1750651220 | Dr. Alfonso Olivos, P.a. | Family Medicine | 873 101 Avenue N., Naples, FL 34108 | 2011-12-30 |
| 1083901367 | Gregory Alan Mazur | Podiatrist | 9915 Tamiami Trl N Ste 1, Naples, FL 34108 | 2011-07-07 |
| 1124253398 | G B Fisher IIi Do Pa | Ophthalmology | 875 105 Ave North, Naples, FL 34108 | 2009-05-18 |
| 1134378466 | Susanna Alis | Counselor | 9853 Tamiami Trl N Ste 227c, Naples, FL 34108 | 2008-09-10 |
| 1194995720 | William Nicholas Sullivan | Dentist | 6100 Trail Blvd North, Suite 1, Naples, FL 34108 | 2008-03-11 |
| 1285838219 | John Woolman Cox | Dermatology | 650 Bridgeway Lane, Naples, FL 34108 | 2007-06-13 |
| 1780888263 | Gerald Frank Levens | Family Medicine | 1175 Creekside Pkwy Ste 200, Naples, FL 34108 | 2007-06-11 |
| Find all providers in zip 34108 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013542364 | Michelle Carnes | Neurological Surgery | 2575 Northbrooke Plaza Dr Unit 100, Naples, FL 34119-8105 | 2020-03-06 |
| 1497722425 | Geoffrey W Colino | Neurological Surgery | 1212 Michigan Ave, Naples, FL 34103-3874 | 2006-03-08 |
| 1396744397 | Mark B Gerber | Neurological Surgery | 6101 Pine Ridge Rd # Desk10, Naples, FL 34119-3900 | 2005-07-20 |
| 1609873280 | Neuroscience and Spine Associates, P.l. | Neurological Surgery | 877 111th Avenue North, Suite 1, Naples, FL 34108 | 2005-06-28 |
| 1164869178 | Mark Benjamin Frenkel | Neurological Surgery | 6101 Pine Ridge Rd # Desk10, Naples, FL 34119-3900 | 2013-05-30 |
| 1114220845 | Neuroscience and Spine Associates, Pl | Neurological Surgery | 6101 Pine Ridge Rd # Desk10, Naples, FL 34119-3900 | 2010-12-20 |
| 1689806465 | Paul S Richard | Neurological Surgery | 6101 Pine Ridge Rd # Desk10, Naples, FL 34119-3900 | 2009-08-13 |
| 1063584357 | Brian D Wolff Md Pa | Neurological Surgery | 671 Goodlette Rd N, Suite 120, Naples, FL 34102-5469 | 2006-11-14 |
| 1043399819 | Christopher Joseph Pham | Neurological Surgery | 2515 Northbrooke Plaza Dr, Suite 200, Naples, FL 34119-8088 | 2006-11-03 |
| 1316020126 | Rohit Rick Bhasin | Neurological Surgery | 6101 Pine Ridge Rd, Desk 23/24, Naples, FL 34119-3900 | 2006-10-23 |
| Find all providers in NAPLES | ||||
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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.