KENNETH RICHARD NISSIM (NPI# 1447246392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447246392 |
| Entity Type | Individual |
| Full Name | KENNETH RICHARD NISSIM |
| Credential | M.D. |
| Practice Address |
8932 Sw 97th Ave Miami FL 33176-1936 |
| Mailing Address |
1120 Nw 14th St 5th Floor Miami FL 33136-2107 |
| Practice Telephone | 3052703740 |
| Mailing Telephone | 3052433564 |
| Mailing Fax Number | 3052432009 |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2012-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | ME85561 | FL | Allopathic & Osteopathic Physicians |
| N | 207YS0012X |
Otolaryngology Specialization: Sleep Medicine |
ME85561 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 2675617-00 | 05 |
| Street Address |
8932 SW 97TH AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33176-1936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649806142 | Jemma Rose Lopez | Physical Therapist | 8932 Sw 97th Ave, Miami, FL 33176-1936 | 2020-03-16 |
| 1053977538 | Renay Natlie Smith | Registered Nurse | 8932 Sw 97th Ave, Miami, FL 33176-1936 | 2019-05-10 |
| 1770052797 | Joselin Leyva | Nurse Practitioner | 8932 Sw 97th Ave, Miami, FL 33176-1936 | 2018-11-20 |
| 1770058109 | Raquel Rosa Bernal | Nurse Practitioner | 8932 Sw 97th Ave, Miami, FL 33176-1936 | 2018-10-12 |
| 1902337512 | Grettel Garcia | Internal Medicine | 8932 Sw 97th Ave, Miami, FL 33176-1936 | 2017-03-24 |
| 1750833638 | Juan Carlos Hernandez | Nurse Practitioner | 8932 Sw 97th Ave, Miami, FL 33176-1936 | 2016-10-26 |
| 1538545629 | Yamily Marie Musa | Nurse Practitioner | 8932 Sw 97th Ave, Miami, FL 33176-1936 | 2015-07-30 |
| 1962813899 | Nitya Reddy Ramreddy | Internal Medicine | 8932 Sw 97th Ave, Miami, FL 33176-1936 | 2014-05-13 |
| 1164778098 | Johanna Maseda | Nurse Practitioner | 8932 Sw 97th Ave, Miami, FL 33176-1936 | 2012-07-30 |
| 1164756748 | Alexandra Calandriello | Internal Medicine | 8932 Sw 97th Ave, Suite G, Miami, FL 33176-1936 | 2009-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064162 | Majela Muse | Nurse Practitioner | 9550 Sw 92th St, Miami, FL 33176 | 2020-08-24 |
| 1104443647 | Karina G Castillo | Counselor | 14808 Sw 116th Ave, Miami, FL 33176 | 2020-07-01 |
| 1710515721 | Diana Almeida Araujo | Counselor | 11050 North Kendall Drive, Suite 102, Miami, FL 33176 | 2020-03-27 |
| 1255826285 | Rebecca Arteaga | Behavioral Analyst | 10150 Sw 88th St Apt 104, Miami, FL 33176 | 2018-06-22 |
| 1356834337 | Ag Special Therapy Services Corp | Physical Therapist | 12670 Sw 93 Place, Miami, FL 33176 | 2018-06-13 |
| 1063928562 | Dade Behavioral Services Inc | Behavioral Analyst | 10689 N Kendall Dr Ste 309, Miami, FL 33176 | 2017-12-19 |
| 1619409596 | Antonio Medina Rodriguez | Behavior Technician | 9530 Sw 93 Ct, Miami, FL 33176 | 2017-03-30 |
| 1801348552 | Suresh Rana | Specialist/Technologist, Other | 8780 Sw 88th Ave, Miami, FL 33176 | 2016-10-28 |
| 1205386794 | Orlando Sanchez | Behavior Technician | 10421 Sw 141 St Drive, Miami, FL 33176 | 2016-10-07 |
| 1073066759 | Clayton Davis | Dentist | 8940 N. Kendall Drive 604e, Miami, FL 33176 | 2016-07-28 |
| Find all providers in zip 33176 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467970368 | Portela E.n.t., Pa | Otolaryngology | 3100 Sw 62nd Ave Ste 124, Miami, FL 33155-3009 | 2017-08-31 |
| 1528301330 | Ariel B Grobman | Otolaryngology | 3661 S Miami Ave Ste 409, Miami, FL 33133-4230 | 2013-03-29 |
| 1386809119 | Silavano A. Hernandez-herrera, M.d., P.a. | Otolaryngology | 35 Ponce De Leon Blvd, Miami, FL 33135-1040 | 2008-07-21 |
| 1134386675 | Rafael Antonio Portela | Otolaryngology | 3100 Sw 62 Avw, Suite 124, Miami, FL 33155-3009 | 2008-05-21 |
| 1144406877 | Ajani Nugent | Otolaryngology | 1321 Nw 14th St Fl 2, Miami, FL 33125-1673 | 2008-01-11 |
| 1386854032 | Zoukaa B Sargi | Otolaryngology | 1475 Nw 12th Ave # 4023, Miami, FL 33136-1002 | 2007-05-23 |
| 1184718645 | Eugene Villacian | Otolaryngology | 10130 S.w. 40 Street, Miami, FL 33165 | 2006-10-02 |
| 1497853741 | Rafael E Alfonzo | Otolaryngology | 2010 S Miami Ave, Miami, FL 33129-1517 | 2006-09-20 |
| 1740213958 | Adrien A Eshraghi | Otolaryngology | 1666 Nw 10 Ave, Box (m851), Miami, FL 33101-6960 | 2006-07-09 |
| 1689623100 | University of Miami | Otolaryngology | 1666 Nw 10th Ave, Box 016960 M851, Miami, FL 33136-1015 | 2006-05-10 |
| 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.