OPEN ARMS MEDICAL CENTER AT (NPI# 1538468269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538468269 |
| Entity Type | Organization |
| Organization Name | OPEN ARMS MEDICAL CENTER AT |
| Other Organization Name | OPEN ARMS MEDICAL CENTER AT HAWTHORNE, LLC |
| Practice Address |
6435 Se Us Highway 301 Hawthorne FL 32640-7309 |
| Mailing Address |
6435 Se Hwy 301 Hawthorne FL 32640 |
| Practice Telephone | 3524815700 |
| Practice Fax Number | 3524815750 |
| Mailing Telephone | 3524815700 |
| Mailing Fax Number | 3524815750 |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2011-10-24 |
| Authorized Official Name | MR. JAMES C O'CONNOR (OWNER) |
| Authorized Official Telephone | 3524815700 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2998 | FL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| OPEN ARMS MEDICAL CENTER AT HAWTHORNE, LLC | Doing Business As Name - Organization |
| Street Address |
6435 SE US HIGHWAY 301 |
| City | HAWTHORNE |
| State | FL |
| Zip Code | 32640-7309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831683861 | Mulberrys Mobile Provider Services | Nurse Practitioner | 6435 Se Us Highway 301, Hawthorne, FL 32640-7309 | 2018-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306303169 | Althea Pontoon | In Home Supportive Care | 144 Prairie Drive, Hawthorne, FL 32640 | 2019-02-27 |
| 1013446475 | Divine Care Services LLC | Home Health Aide | 21212 Se 62nd Ave, Hawthorne, FL 32640 | 2017-06-08 |
| 1073968715 | Crista Marina Ana Lucia Rosborough | Specialist | 21403 Se 70th Ave, Hawthorne, FL 32640 | 2016-05-02 |
| 1952781387 | Neil Franklin Letts | Ophthalmology | 160 Little Orange Lake Drive, Hawthorne, FL 32640 | 2015-06-01 |
| 1750575056 | Lenise Valma Thomas | Licensed Practical Nurse | 109 Juniper Drive, Hawthorne, FL 32640 | 2007-08-29 |
| 1023138708 | Brian Christopher Creghan I | Physician Assistant | 6435 Se Hwy 301, Hawthorne, FL 32640 | 2007-03-29 |
| 1275627275 | Charles Edward Peele | Chiropractor | 6005 Se Hwy 301, Suite 405a, Hawthorne, FL 32640 | 2006-10-03 |
| 1093123614 | Joseph J Ciccio | Physical Therapist | 19804 Ne 22nd Ln, Hawthorne, FL 32640-2900 | 2014-07-28 |
| 1073912184 | Kristen Tiurchy | Occupational Therapist | 19804 Ne 22nd Ln, Hawthorne, FL 32640-2900 | 2014-08-14 |
| 1306347919 | Myia Mccloud | Licensed Practical Nurse | 22421 Se 59th Pl, Hawthorne, FL 32640-3616 | 2018-02-28 |
| Find all providers in zip 32640 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710512843 | Daisy Warren | Family Medicine | 12501 Oxford Ave Apt A, Hawthorne, CA 90250-4884 | 2020-03-09 |
| 1396189288 | Gregory Vanepps | Family Medicine | 3615 Jack Northrop Ave Ste 100, Hawthorne, CA 90250-4436 | 2013-04-22 |
| 1851507610 | Denise Nicole Smith | Family Medicine | 4455 W 117th Street Suite 200, Hawthorne, CA 90250-2241 | 2007-05-15 |
| 1588878300 | Hawthorne Family Practice | Family Medicine | 1083 Goffle Rd, Hawthorne, NJ 07506-2025 | 2007-05-10 |
| 1467517334 | Avril D Anthony-wilson | Family Medicine | 1114 Goffle Rd, Hawthorne, NJ 07506-2014 | 2006-12-22 |
| 1023196318 | Hawthorne Medical Center, Inc. | Family Medicine | 21815 S.e .71st Avenue, Hawthorne, FL 32640-3974 | 2006-11-02 |
| 1215021167 | Lieu S. Nguyen, M.d., A Professional Corporation | Family Medicine | 15032 Prairie Ave, Hawthorne, CA 90250-8316 | 2006-10-03 |
| 1841214285 | Lieu Nguyen | Family Medicine | 15032 S Prairie Ave, Hawthorne, CA 90250 | 2006-07-27 |
| 1548295066 | Janet Fahem Soliman | Family Medicine | 11946 Hawthorne Blvd, Hawthorne, CA 90250-3016 | 2006-07-12 |
| 1750327235 | Khalid B. Khan M.d., Inc | Family Medicine | 13425 Inglewood Ave, Hawthorne, CA 90250-5608 | 2006-06-21 |
| Find all providers in HAWTHORNE | ||||
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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.