SELWYN WATERTON (NPI# 1447245535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447245535 |
| Entity Type | Individual |
| Full Name | SELWYN WATERTON |
| Credential | MD |
| Practice Address |
703 N Flamingo Rd Pembroke Pines FL 33028-1006 |
| Practice Telephone | 9544337120 |
| Mailing Telephone | 9544337120 |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2008-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | ME 97308 | FL | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 195018-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01720378 | 05 |
| Street Address |
703 N FLAMINGO RD |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33028-1006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730707522 | Carlos Rodrigo Carracedo Uribe | Student in an Organized Health Care Education/Training Program | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 | 2020-07-08 |
| 1710504816 | Marilyn Wan | Student in an Organized Health Care Education/Training Program | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 | 2020-07-06 |
| 1891312401 | Serelee Editha St. Cyr Sullivan | Student in an Organized Health Care Education/Training Program | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 | 2020-06-30 |
| 1114544897 | Pyi Phyo Aung | Student in an Organized Health Care Education/Training Program | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 | 2020-06-29 |
| 1306461207 | Mohammed Ebrahim | Student in an Organized Health Care Education/Training Program | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1014 | 2020-06-16 |
| 1821613829 | Myeongji Kim | Student in an Organized Health Care Education/Training Program | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1014 | 2020-06-15 |
| 1194345256 | Andrea Barberis | Physical Therapist | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 | 2020-04-19 |
| 1093334740 | Jeffy Jacob | Student in an Organized Health Care Education/Training Program | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 | 2020-04-13 |
| 1396364378 | Vidhya Meyammai Meyyappa | Student in an Organized Health Care Education/Training Program | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 | 2020-04-10 |
| 1972122141 | Taimoor Ahmed Khan | Student in an Organized Health Care Education/Training Program | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 | 2020-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821570276 | Grace Olivine Lue | Nurse Practitioner | 2291 Nw 171 Terrace, Pembroke Pines, FL 33028 | 2018-09-02 |
| 1336658194 | Edna Daniel | Registered Nurse | 16213 Nw 18th Street, Pembroke Pines, FL 33028 | 2017-09-25 |
| 1093257032 | Carlos Eduardo Florian Jr. | Physical Therapist | 701 North Flamingo Road, Pembroke Pines, FL 33028 | 2016-11-08 |
| 1760868574 | Clara Elisa Delgado | Nurse Practitioner | 601 N Flamingo Road Suite 105, Pembroke Pines, FL 33028 | 2015-08-04 |
| 1942614375 | Emmanuel Magboo | Physical Therapist | 1563 Nw 159 Lane, Pembroke Pines, FL 33028 | 2014-06-13 |
| 1134546302 | Tahnie Danastor | Obstetrics & Gynecology | 601 N Flamingo Rd Ste 307, Pembroke Pines, FL 33028 | 2014-03-25 |
| 1316388200 | Mirella Silva-bass | Counselor | 2250 Nw 136 Ave # 100f, Pembroke Pines, FL 33028 | 2013-07-09 |
| 1932447364 | Grazia Oropesa | Nurse Practitioner | 12824 Nw 21st St, Pembroke Pines, FL 33028 | 2013-01-18 |
| 1548545320 | Rita Galliano | Speech-Language Pathologist | 1261 Nw 141st Ave, Pembroke Pines, FL 33028 | 2011-10-12 |
| 1033429949 | Paulette Paul | Registered Nurse | 15575 N.w. 12th Court, Pembroke Pines, FL 33028 | 2010-10-13 |
| Find all providers in zip 33028 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588068100 | Teamhealth | Emergency Medicine | 17431 Nw 7th St, Pembroke Pines, FL 33029-3103 | 2014-10-10 |
| 1861803041 | Luis M Perezalonso Md Pa | Emergency Medicine | 2132 Nw 129th Ave, Pembroke Pines, FL 33028-2581 | 2014-05-09 |
| 1811280993 | Criticare Clinics Inc | Emergency Medicine | 15885 Pines Blvd, Pembroke Pines, FL 33027-1220 | 2011-05-23 |
| 1457592339 | Dana Kleinman | Emergency Medicine | 1051 Bel Aire Dr W, Pembroke Pines, FL 33027-2221 | 2009-03-23 |
| 1154542967 | Geovannie Marcano-centeno | Emergency Medicine | 1179 Nw 166th Ave, Pembroke Pines, Pembroke Pines, FL 33028-1344 | 2007-05-01 |
| 1346277423 | Gary Ronald Hill | Emergency Medicine | 7471 Nw 23rd St, Pembroke Pines, FL 33024-1034 | 2006-06-26 |
| 1720034978 | Saravana E Sivashanker | Emergency Medicine | 19139 Nw 23rd Ct, Pembroke Pines, FL 33029-5336 | 2006-05-26 |
| 1285684753 | Manuel Fernandez-concepcion | Emergency Medicine | 1806 N Flamingo Rd, Suite 440, Pembroke Pines, FL 33028-1026 | 2006-05-12 |
| 1720068224 | David Strong | Emergency Medicine | Fourstrong LLC, 15841 Pines Blvd. #182, Pembroke Pines, FL 33027 | 2006-01-19 |
| 1689014185 | Daniel H Katzin | Emergency Medicine | 703 N Flamingo Rd, Pembroke Pines, FL 33028 | 2013-06-28 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33028 |
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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.