ROBERT KEMP CROCKETT (NPI# 1386758548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386758548 |
| Entity Type | Individual |
| Full Name | ROBERT KEMP CROCKETT |
| Credential | M.D. |
| Practice Address |
3100 Sw 62nd Ave Miami FL 33155-3009 |
| Practice Telephone | 3056666511 |
| Practice Fax Number | 3056628291 |
| Mailing Telephone | 3056666511 |
| Mailing Fax Number | 3056628291 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
ME53366 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932604907 | Robert Crockett | Technician | 8290 W Sahara Ave Ste 260, Las Vegas, NV 89117-8933 | 2018-03-29 |
| 1235276809 | Robert O. Crockett | Physical Therapist | 2230 N Edwards Ave, Mt Pleasant, TX 75455-2036 | 2007-01-31 |
| 1760402622 | Robert A Crockett | Radiology | 155 Glasson Way, Grass Valley, CA 95945-5723 | 2006-07-20 |
| 1801883475 | Robert David Crockett | Nurse Practitioner | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2005-09-29 |
| Street Address |
3100 SW 62ND AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33155-3009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104824077 | Rene Luis Lopez-guerrero | Pediatrics | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2005-07-13 |
| 1598366239 | Alejandra Margarita Patterson | Registered Nurse | 3100 Sw 62nd Ave, Suite 108 Center for Spinal Disorders, Miami, FL 33155 | 2020-11-07 |
| 1093315947 | Mailys Santoro | Nurse Practitioner | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2020-10-29 |
| 1174121289 | Lilia M Mendoza | Family Medicine | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2020-10-12 |
| 1932707007 | Brian Ruiz | Nurse Practitioner | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2020-10-12 |
| 1457965345 | Pediatric Specialty Group, Inc. | Pediatrics | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2020-09-08 |
| 1306459177 | Pediatric Specialty Group, Inc. | Pediatrics | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2020-08-31 |
| 1568075372 | Nancy Pierre | Nurse Practitioner | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2020-08-31 |
| 1841803335 | Dicle Yasar Aksoyler | Student in an Organized Health Care Education/Training Program | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2020-08-25 |
| 1154932952 | Veronica A Quintanar Sanabria | Nurse Practitioner | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2020-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987121 | Blanca Argentina Torres | Speech-Language Pathologist | 6840 Bird Rd Unit 211a, Miami, FL 33155 | 2020-09-21 |
| 1245888585 | Mila De La Caridad Broche Coego | Behavior Technician | 2247 Sw 68th Ct, Miami, FL 33155 | 2019-08-29 |
| 1265087878 | Nancy Acela Denis | Nurse Practitioner | 6791 Sw 25 Terra, Miami, FL 33155 | 2019-08-09 |
| 1700366887 | Aly Hashim | Family Medicine | 2805 Sw 75th Avenue, Miami, FL 33155 | 2018-08-17 |
| 1184115362 | Ready 2 Transfer, Inc. | Non-emergency Medical Transport (VAN) | 7811 Sw 24 Street #120, Miami, FL 33155 | 2018-05-23 |
| 1053808030 | Idalmis Pimentel Diez | Behavior Technician | 6334 Sw 30th St, Miami, FL 33155 | 2018-04-16 |
| 1225538689 | L & L Social Services LLC | Case Management | 5950 Sw 40 St, Miami, FL 33155 | 2018-02-12 |
| 1659888915 | Red Bird Dental Care | Dentist | 5771 Sw 40 St, Miami, FL 33155 | 2018-01-08 |
| 1043726474 | Jesenia Rodriguez-vila | Nurse Practitioner | 6433 Sw 29th St, Miami, FL 33155 | 2017-12-21 |
| 1326553736 | Believe Neuro-behavioral Services | Behavioral Analyst | 6700 Sw 38th St, Miami, FL 33155 | 2017-12-07 |
| Find all providers in zip 33155 | ||||
| Taxonomy Code | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063828267 | Adriana Marcela Porto | Emergency Medicine | 8900 N Kendall Dr Ste 200, Miami, FL 33176-2118 | 2014-07-08 |
| 1639435498 | Stephanie Ann Melbourne-carbs | Emergency Medicine | 11495 Sw 40th St, Miami, FL 33165 | 2012-04-05 |
| 1427144542 | Fernando G Mendoza | Emergency Medicine | Baptist Hospital Pediatric Emergency Dept., 8900 North Kendall Drive, Miami, FL 33176 | 2006-10-05 |
| 1912939695 | Harry Aguero | Emergency Medicine | 6035 Bird Rd, Suite 202, Miami, FL 33155 | 2006-07-06 |
| 1790716660 | Daniel Green | Emergency Medicine | 3101 Sw 62 Avenue, Miami, FL 33155 | 2006-07-06 |
| 1336762715 | Catalina Moreno Bejarano | Emergency Medicine | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2020-05-20 |
| 1255706420 | Katherine Margarita Lens | Emergency Medicine | 3100 Sw 62nd Ave, Miami, FL 33155 | 2015-12-14 |
| 1649685678 | Yurelis Hilda Garcia | Emergency Medicine | 3100 Sw 62nd Ave, Miami, FL 33155 | 2014-06-28 |
| 1134541618 | Emergency Physician Solutions of South Florida, LLC | Emergency Medicine | 11750 Sw 40th St, Miami, FL 33175-3530 | 2014-01-17 |
| 1548503394 | Jessica Cardona | Emergency Medicine | 3100 Sw 62nd Ave, Miami, FL 33155 | 2013-03-30 |
| 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.