THE PEDIATRIC CENTER (NPI# 1528003365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528003365 |
Entity Type | Organization |
Organization Name | THE PEDIATRIC CENTER |
Other Organization Name | THE PEDIATRIC CENTER |
Practice Address |
1447 Medical Park Blvd. Suite 402 Wellington FL 33414 |
Mailing Address |
1447 Medical Park Blvd Suite 402 Wellington FL 33414 |
Practice Telephone | 5617902600 |
Practice Fax Number | 5617982857 |
Mailing Telephone | 5617902600 |
Mailing Fax Number | 5617901535 |
Enumeration Date | 2006-06-17 |
Last Update Date | 2015-12-30 |
Authorized Official Name | ALI I KHOSRAVANI (SEC-TREASURY) |
Authorized Official Telephone | 5617902600 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | HEALTHEASE | 176316 | 01 |
FL | 378772900 | 05 | |
FL | 378772901 | 05 | |
FL | AMERIGROUP | 205500 | 01 |
Other Name | Type Code |
---|---|
The Pediatric Center | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477822690 | The Pediatric Center | Nurse Practitioner | 126 Morgan Street, Stamford, CT 09605 | 2011-12-16 |
1356431274 | The Pediatric Center | Pediatrics | 2050 Mariner Dr, Suite #150, Las Vegas, NV 89128-6656 | 2006-10-13 |
1902091572 | The Pediatric Center | Pediatrics | 967 Bellefontaine Ave, Lima, OH 45804-2888 | 2007-09-07 |
1558415844 | The Pediatric Center | Pediatrics | 111 Memorial Dr, Greer, SC 29650-1518 | 2007-01-23 |
1659485415 | The Pediatric Center | Clinic/Center | 1914 Glen Meade Rd, Wilmington, NC 28403-6025 | 2006-08-18 |
Street Address |
1447 MEDICAL PARK BLVD. SUITE 402 |
City | WELLINGTON |
State | FL |
Zip Code | 33414 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083728497 | Isaac Halfon | Obstetrics & Gynecology | 1447 Medical Park Blvd., #401, Wellington, FL 33414-3164 | 2006-08-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932707247 | Juana Maria Gonzales | Home Health | 2766 Penhall Ct, Wellington, FL 33414 | 2020-10-09 |
1821601089 | Wellington Rehab and Health Center, LLC | Skilled Nursing Facility | 10330 Nu Vista Ave, Wellington, FL 33414 | 2020-08-27 |
1730661158 | Michelle Alexis Anagnostu | Nurse Practitioner | 1447 Medical Park Blvd Suite 406, Wellington, FL 33414 | 2018-09-01 |
1932686193 | Borola Inc | Occupational Therapy Assistant | 1985 Canterbury Circle, Wellington, FL 33414 | 2018-07-20 |
1841783156 | Kid'z World Advance Inc | Behavioral Analyst | 2400 Wrotham Ter, Wellington, FL 33414 | 2018-06-11 |
1134619489 | Devin Michael Scheller | Counselor | 2077 Vinings Circle Apt 1303, Wellington, FL 33414 | 2018-05-12 |
1942726617 | Amanda Hardy | Social Worker | 11120 South Way, Suite 1, Wellington, FL 33414 | 2017-08-15 |
1467976423 | Dawn Carnegia Blackshear | Nurse Practitioner | 1397 Medical Park Blvd Ste 480, Wellington, FL 33414 | 2017-08-01 |
1508390238 | Morgan Mccollum | Speech-Language Pathologist | 2158 Polo Gardens Dr Apt 203, Wellington, FL 33414 | 2017-04-19 |
1003369786 | Memite G Charlemagne | Registered Nurse | 184 Berenger Walk, Royal Palm Beach, FL 33414 | 2016-07-28 |
Find all providers in zip 33414 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841606373 | Mayadha Rasheed | Pediatrics | 711 Forest Club Dr, Apt 516, Wellington, FL 33414-7973 | 2014-07-03 |
1841627049 | Brian Douglas Dewitt | Pediatrics | 1063 Aviary Rd, Wellington, FL 33414 | 2013-10-02 |
1811254782 | Yohaimi Eslimenchi Cosme Ayala | Pediatrics | 3319 Sr7, Suite 109, Wellington, FL 33414 | 2012-04-17 |
1811143803 | Katherine Joanna Rakoczy | Pediatrics | 17105 Gulf Pine Cir, Wellington, FL 33414-6354 | 2008-08-11 |
1033189055 | Michael L. Bruck | Pediatrics | 10115 W Forest Hill Blvd., Suite 402, Wellington, FL 33414 | 2006-01-23 |
1033108352 | Mohamed Chan | Pediatrics | 468 Old Country Rd, Wellington, FL 33414-4808 | 2005-10-19 |
1376538645 | Gabrielle Hope Mayers | Pediatrics | 1447 Medical Park Blvd Suite 402, Wellington, FL 33414 | 2005-09-13 |
1811999378 | Sara Ann Lewis | Pediatrics | 12200 Forest Hill Blvd, Wellington, FL 33414-5795 | 2005-08-15 |
1760933709 | Soma Medical Center Pa Wellington | Pediatrics | 10131 Forest Hill Blvd, Suite 140, Wellington, FL 33414-6156 | 2016-10-14 |
1235584160 | South Florida Pediatric Hospitalists | Pediatrics | 17105 Gulf Pine Cir, Wellington, FL 33414-6354 | 2016-04-28 |
Find all providers in WELLINGTON |
City | WELLINGTON |
Zip Code | 33414 |
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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.