EASTSIDE DERMATOLOGY, PA (NPI# 1477853125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477853125 |
| Entity Type | Organization |
| Organization Name | EASTSIDE DERMATOLOGY, PA |
| Practice Address |
5353 N Federal Hwy Suite 400 Fort Lauderdale FL 33308-3245 |
| Practice Telephone | 9544899800 |
| Practice Fax Number | 9544890401 |
| Mailing Telephone | 9544899800 |
| Mailing Fax Number | 9544890401 |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2010-10-28 |
| Authorized Official Name | DR. IGOR CHAPLIK (PRESIDENT) |
| Authorized Official Telephone | 9544899800 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 800002278 | FL | Laboratories |
| Street Address |
5353 N FEDERAL HWY SUITE 400 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33308-3245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114980984 | Gary N Saff | Anesthesiology | 5353 N Federal Hwy, Suite 301, Fort Lauderdale, FL 33308-3245 | 2006-04-11 |
| 1063947190 | Connie Kushch Au.d., LLC | Audiologist | 5353 N Federal Hwy, Suite 207, Fort Lauderdale, FL 33308-3245 | 2017-04-26 |
| 1255711503 | Heather Marie Hickson | Acupuncturist | 5353 N Federal Hwy, Ste 220, Fort Lauderdale, FL 33308-3245 | 2015-06-02 |
| 1699187930 | Dr Charles M Palminteri, LLC | Chiropractor | 5353 N Federal Hwy, Suite 220, Fort Lauderdale, FL 33308-3245 | 2014-05-21 |
| 1700158078 | Alexander Kushch, Phd, Pa | Psychologist | 5353 N Federal Hwy, Suite 208, Fort Lauderdale, FL 33308-3245 | 2012-02-02 |
| 1487941407 | David A Hugar Dc LLC | Chiropractor | 5353 N Federal Hwy, Suite 220, Fort Lauderdale, FL 33308-3245 | 2011-06-29 |
| 1225323264 | Leavitt Medical Associates of Florida Inc | Dermatology | 5353 N Federal Hwy, Suite 400, Fort Lauderdale, FL 33308-3245 | 2011-06-17 |
| 1760783930 | Charles Matthew Palminteri | Chiropractor | 5353 N Federal Hwy, Suite 220, Fort Lauderdale, FL 33308-3245 | 2010-11-04 |
| 1518281971 | David A Hugar | Chiropractor | 5353 N Federal Hwy, Suite 220, Fort Lauderdale, FL 33308-3245 | 2010-03-15 |
| 1871676262 | Alexander Kushch | Psychologist | 5353 N Federal Hwy, Ste 207, Fort Lauderdale, FL 33308-3236 | 2006-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558788 | Marina Silva Ferreira | Student in an Organized Health Care Education/Training Program | Univ of Miami Miller School of Med Holy Cross Hospital, 4725 N Federal Highway, Fort Lauderdale, FL 33308 | 2020-05-06 |
| 1013538040 | Mehak Bansal | Student in an Organized Health Care Education/Training Program | 4725 N Federal Highway University of Miami, Miller School of Medicine Holy Cross Hospital Internal, Fort Lauderdale, FL 33308 | 2020-04-30 |
| 1285269266 | Roman Castell | Massage Therapist | 2480 E Commercial Blvd Ste 3, Fort Lauderdale, FL 33308 | 2020-03-10 |
| 1124667969 | Icarevip, Inc | Internal Medicine | 4800 N. Federal Highway, Suite 200, Fort Lauderdale, FL 33308 | 2019-12-26 |
| 1629612932 | Lana A Simmonds | Nurse Practitioner | 4390 N. Federal Hwy, Unit 101, Fort Lauderdale, FL 33308 | 2019-10-30 |
| 1063997260 | Kneaded Therapy, Inc | Physical Medicine & Rehabilitation | 2746 E Commerical Blvd., Ft. Lauderdale, FL 33308 | 2018-10-03 |
| 1518452184 | Colleen Lynn Culbertson | Nurse Anesthetist, Certified Registered | 1930 Ne 47th St Ste 308, Ft Lauderdale, FL 33308 | 2018-06-26 |
| 1962910562 | Healing Therapy Center Pllc | Social Worker | Healing Therapy, 1919 Ne 45th Street, Suite 225, Ft. Lauderale, FL 33308 | 2018-01-17 |
| 1376066647 | Carlos Jose Garcia | Student in an Organized Health Care Education/Training Program | 4725 North Federal Highway Suite 501, Fort Lauderdale, FL 33308 | 2017-07-19 |
| 1407381940 | Heather Hickson Lac LLC | Clinic/Center | 5353 North Federal Highway, Ste 220, Fort Lauderdale, FL 33308 | 2017-04-21 |
| Find all providers in zip 33308 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346873338 | Diagnostic Labs of America LLC | Clinical Medical Laboratory | 3223 Nw 10th Ter Ste 606, Fort Lauderdale, FL 33309-5940 | 2020-02-18 |
| 1205315355 | Lab Gurus LLC | Clinical Medical Laboratory | 3316 Griffin Rd, Fort Lauderdale, FL 33312-5554 | 2018-08-09 |
| 1992294359 | Alicia Malone | Clinical Medical Laboratory | 2800 E Commercial Blvd Ste 212, Fort Lauderdale, FL 33308-4228 | 2018-05-01 |
| 1285160887 | Genlab Corporation | Clinical Medical Laboratory | 1417 Se 1st Ave, Fort Lauderdale, FL 33316-1805 | 2017-05-03 |
| 1982159703 | Andrekia Williams-montgomery | Clinical Medical Laboratory | 1471 Nw 22nd Ct Apt 1, Fort Lauderdale, FL 33311-3545 | 2016-08-22 |
| 1821440918 | Global Health Services Fl LLC | Clinical Medical Laboratory | 2030 W Mcnab Rd Ste 200, Fort Lauderdale, FL 33309-1002 | 2016-07-13 |
| 1811347891 | Soft Touch Mobile Lab Services | Clinical Medical Laboratory | 1471 Nw 22nd Ct, 1, Fort Lauderdale, FL 33311-3545 | 2016-06-21 |
| 1801291794 | Tpl Fl LLC | Clinical Medical Laboratory | 5817 N Andrews Way, Suite B, Fort Lauderdale, FL 33309-2359 | 2014-11-04 |
| 1346641875 | Em1 Labs, LLC | Clinical Medical Laboratory | 3115 Nw 10th Ter Ste 108, Fort Lauderdale, FL 33309-5937 | 2014-09-16 |
| 1124446703 | Liberty House Inc | Clinical Medical Laboratory | 504 Se 22nd St, Fort Lauderdale, FL 33316-3472 | 2014-04-01 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33308 |
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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.