NORTH BROWARD HOSPITAL DISTRICT (NPI# 1457763740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457763740 |
| Entity Type | Organization |
| Organization Name | NORTH BROWARD HOSPITAL DISTRICT |
| Other Organization Name | BH PHYSICIANS MAIN |
| Practice Address |
1625 Se 3rd Ave Suite 601 Fort Lauderdale FL 33316-2521 |
| Mailing Address |
1608 Se 3rd Ave Third Floor Pbo Fort Lauderdale FL 33316-2564 |
| Practice Telephone | 9543554617 |
| Practice Fax Number | 9543554618 |
| Mailing Telephone | 9543554617 |
| Mailing Fax Number | 9543554618 |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2017-01-24 |
| Authorized Official Name | KEVIN FUSCO (INTERIM PRESIDENT/CEO) |
| Authorized Official Telephone | 9544737100 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTH BROWARD HOSPITAL DISTRICT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 253794072 | 05 | |
| FL | FLORIDA BLUE | 00020 | 01 |
| Other Name | Type Code |
|---|---|
| BH Physicians Main | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881212744 | North Broward Hospital District | Internal Medicine | 817 S University Dr Ste 104, Plantation, FL 33324-3345 | 2020-07-08 |
| 1447898580 | North Broward Hospital District | Orthopaedic Surgery | 3100 Coral Hills Dr Ste 202, Coral Springs, FL 33065-4139 | 2019-12-19 |
| 1417440991 | North Broward Hospital District | Internal Medicine | 1 W Sample Rd Ste 208, Pompano Beach, FL 33064-3547 | 2018-06-11 |
| 1942692298 | North Broward Hospital District | Psychiatry & Neurology | 50 E Sample Road, Suite 200, Pompano Beach, FL 33064-3550 | 2015-02-24 |
| 1063847341 | North Broward Hospital District | Clinic/Center | 2300 N Commerce Pkwy Ste 110, Weston, FL 33326-3255 | 2013-09-05 |
| 1558700849 | North Broward Hospital District | Family Medicine | 3896 N. Federal Highway, Lighthouse Point, FL 33064 | 2013-06-19 |
| 1952740458 | North Broward Hospital District | Internal Medicine | 1811 N Pine Island Rd, Plantation, FL 33322-5207 | 2013-06-18 |
| 1780922716 | North Broward Hospital District | Clinic/Center | 1811 N. Pine Island Road, Plantation, FL 33322 | 2013-01-25 |
| 1558644690 | North Broward Hospital District | Family Medicine | 6333 N Federal Hwy Ste 225, Fort Lauderdale, FL 33308-1913 | 2011-09-26 |
| 1114164282 | North Broward Hospital District | Family Medicine | 1625 Se 3rd Ave Ste 610, Fort Lauderdale, FL 33316-2521 | 2009-01-12 |
| Street Address |
1625 SE 3RD AVE SUITE 601 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33316-2521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780689349 | Channing B. Coe | Obstetrics & Gynecology | 1625 Se 3rd Ave, Suite 701, Fort Lauderdale, FL 33316-2521 | 2005-06-20 |
| 1598139586 | Noor Aesheh Taraben | Dietitian, Registered | 1625 Se 3rd Ave, Suite 415, Fort Lauderdale, FL 33316-2521 | 2015-11-14 |
| 1104294099 | Andrea Burns | Physician Assistant | 1625 Se 3rd Ave, Suite 300, Fort Lauderdale, FL 33316-2521 | 2015-09-09 |
| 1649673898 | Todd Smith | Physician Assistant | 1625 Se 3rd Ave, Suite 300, Fort Lauderdale, FL 33316-2521 | 2014-10-02 |
| 1366852931 | Sonia Daryanani | Internal Medicine | 1625 Se 3rd Ave, Suite 601, Fort Lauderdale, FL 33316-2521 | 2014-05-05 |
| 1326392614 | Lauren Gebhard | Dietitian, Registered | 1625 Se 3rd Ave, Suite 415, Fort Lauderdale, FL 33316-2521 | 2012-11-08 |
| 1821349747 | Aiden Orourke Md Pa | Surgery | 1625 Se 3rd Ave, 723, Fort Lauderdale, FL 33316-2521 | 2012-10-02 |
| 1528318599 | Carl C Amko Md Pa | Surgery | 1625 Se 3rd Ave, 723, Fort Lauderdale, FL 33316-2521 | 2012-09-17 |
| 1073884417 | North Broward Hospital District | Internal Medicine | 1625 Se 3rd Ave, Suite 721, Fort Lauderdale, FL 33316-2521 | 2012-01-17 |
| 1326325721 | Laurie Inez Siegel | Nurse Practitioner | 1625 Se 3rd Ave, Suite 721, Fort Lauderdale, FL 33316-2521 | 2011-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064040 | Jonathan David Ortiz | Behavior Technician | 1717 Se 4 Ave, Fort Lauderdale, FL 33316 | 2020-05-15 |
| 1306311626 | Gateway Recovery Center, LLC | Counselor | 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 | 2018-10-13 |
| 1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
| 1104320126 | Kathleen Kanani Graham | Pharmacist | 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 | 2018-03-23 |
| 1093224271 | Lacosta Therapy, LLC | Behavioral Analyst | 412 Se 15 St., #4, Ft. Lauderdale, FL 33316 | 2017-09-20 |
| 1124560370 | Yulia Rybalka | Pharmacist | 217 Se 10th Street, Ft Lauderdale, FL 33316 | 2016-11-04 |
| 1730635376 | Brian Alexander Reyes | Specialist/Technologist | 303 Se 3rd Ave, Ft Lauderdale, FL 33316 | 2016-09-01 |
| 1649726282 | Jennifer Tabares | Specialist/Technologist | 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 | 2016-09-01 |
| 1609236850 | Diane Nicole Shilling | Nurse Practitioner | 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 | 2016-03-01 |
| 1396113239 | Victoria Rosado | Adult Companion | 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 | 2015-09-09 |
| Find all providers in zip 33316 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124667969 | Icarevip, Inc | Internal Medicine | 4800 N. Federal Highway, Suite 200, Fort Lauderdale, FL 33308 | 2019-12-26 |
| 1033681218 | Fleur De Lis Medical Management LLC | Internal Medicine | 824 Sw 10th St, Fort Lauderdale, FL 33315-1273 | 2018-12-27 |
| 1033627195 | Taylor Schaubschlager | Internal Medicine | 533 Ne 3rd Ave Apt 315, Fort Lauderdale, FL 33301-3279 | 2018-01-11 |
| 1699297861 | New York Medical Center | Internal Medicine | 3020 Ne 32nd Ave Ste 305, Fort Lauderdale, FL 33308-7204 | 2017-07-10 |
| 1669992590 | Edgar Lizandro Bustamante | Internal Medicine | 4737 Ne 25th Ave Apt 106, Fort Lauderdale, FL 33308-4852 | 2017-06-21 |
| 1326577925 | Rozina Parbtani | Internal Medicine | 2000 S Ocean Dr Apt 1105, Fort Lauderdale, FL 33316-3814 | 2017-06-07 |
| 1457891061 | Nabir Mohan Babbar I | Internal Medicine | 1600 S Andrews Ave Fl 33316, Fort Lauderdale, FL 33316-2510 | 2017-03-01 |
| 1447707245 | Sebastian U Perez | Internal Medicine | 4725 N Federal Hwy Ofc, Fort Lauderdale, FL 33308-4603 | 2016-09-09 |
| 1043763261 | Sunil Ayyagari Md Pllc | Internal Medicine | 824 Ne 19th Ave, Fort Lauderdale, FL 33304-3081 | 2016-07-25 |
| 1043674062 | Keith Harrison Rubin | Internal Medicine | 2100 N Ocean Blvd, Apt 501, Fort Lauderdale, FL 33305-1934 | 2016-04-06 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33316 |
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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.