SOMA MEDICAL CENTER, PA #4 (NPI# 1568912699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568912699 |
| Entity Type | Organization |
| Organization Name | SOMA MEDICAL CENTER, PA #4 |
| Practice Address |
4623 Forest Hill Blvd Suite 112 West Palm Beach FL 33415-7469 |
| Practice Telephone | 5614330080 |
| Practice Fax Number | 5614331668 |
| Mailing Telephone | 5614330080 |
| Mailing Fax Number | 5614331668 |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |
| Authorized Official Name | LINA NIEMCZYK NIEMCZYK (OFFICE MANAGER) |
| Authorized Official Telephone | 5614330080 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOMA MEDICAL CENTER, PA #4 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME102127 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265981799 | Soma Medical Center, Pa #4 | Pediatrics | 1840 Forest Hill Blvd, Suite 101, West Palm Beach, FL 33406-6063 | 2016-09-26 |
| Street Address |
4623 FOREST HILL BLVD SUITE 112 |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33415-7469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699742155 | Russ Marc Seger | Chiropractor | 4623 Forest Hill Blvd, Suite 101, West Palm Beach, FL 33415-7469 | 2006-03-03 |
| 1598027427 | Juan E. Batista #2 | Clinic/Center | 4623 Forest Hill Blvd, Suite 112, West Palm Beach, FL 33415-9121 | 2012-06-15 |
| 1437460060 | A Winning Smile | Dentist | 4623 Forest Hill Blvd, Suite 114, West Palm Beach, FL 33415-7469 | 2010-06-29 |
| 1972825552 | Bonnie Dawn Morgen | Specialist | 4623 Forest Hill Blvd, Suite 101, West Palm Beach, FL 33415-7469 | 2010-02-23 |
| 1851621791 | Marina Dolores Oporta | Nurse Practitioner | 4623 Forest Hill Blvd, Suite 112, West Palm Beach, FL 33415-7469 | 2009-12-26 |
| 1346574753 | Corinne A Rathnam | Family Medicine | 4623 Forest Hill Blvd, Suite 105, West Palm Beach, FL 33415-7469 | 2009-10-01 |
| 1629214390 | Medical Center Urgent Care, Inc. | Clinic/Center | 4623 Forest Hill Blvd, Suite 105, West Palm Beach, FL 33415-7469 | 2008-12-30 |
| 1205097383 | Michael L Sabido | Family Medicine | 4623 Forest Hill Blvd, Suite 103, West Palm Beach, FL 33415-7469 | 2008-06-20 |
| 1245400803 | Stacie M Poon | Specialist | 4623 Forest Hill Blvd, Suite 101, West Palm Beach, FL 33415-7469 | 2008-03-10 |
| 1659557544 | Ronald S Smith Od Pa | Optometrist | 4623 Forest Hill Blvd, 107, West Palm Beach, FL 33415-7469 | 2008-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326670613 | Briana Howard | Social Worker | 631-sea Pine Way F2, Greenacres, FL 33415 | 2020-02-05 |
| 1023648821 | Belen Home Care | Assisted Living Facility | 4584 Sutton Terra South, West Palm Beach, FL 33415 | 2020-01-21 |
| 1013556315 | Titan Chiropractic & Rehab | Chiropractor | 655 N Military Trail Ste 9, West Palm Beach, FL 33415 | 2020-01-03 |
| 1467006916 | Bradley Martin | Student in an Organized Health Care Education/Training Program | 5189 Pine Abbey Drive South, West Palm Beach, FL 33415 | 2019-08-01 |
| 1508370131 | Lisa Palmieri | Physical Therapist | 5056 Wallis Rd, West Palm Beach, FL 33415 | 2017-11-17 |
| 1093233637 | Anay Piloto Garcia | Behavior Technician | 1851 W Chatham Rd, West Palm Beach, FL 33415 | 2017-09-05 |
| 1356897631 | Leida C Alarcon | Technician, Other | 2221 White Pine Cir Apt D, Greenacres, FL 33415 | 2016-08-28 |
| 1689061996 | Antonio Cruz | Physical Therapy Assistant | 2939 S Haverhill Road, Wpb, FL 33415 | 2015-04-24 |
| 1780019034 | Michele Thune | Nurse Practitioner | 942 Scott Dr, West Palm Beach, FL 33415 | 2013-09-05 |
| 1780017657 | Genesis Rehab Services | Skilled Nursing Facility | 6414 13th Rd. South, Woodlake, West Palm Beach, FL 33415 | 2013-08-15 |
| Find all providers in zip 33415 | ||||
| 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 |
|---|---|---|---|---|
| 1902430259 | Paula Andrea Ardila | Pediatrics | 1840 Forest Hill Blvd Ste 101, West Palm Beach, FL 33406-6055 | 2020-02-26 |
| 1538666995 | Arias and Yeb, Inc. | Pediatrics | 4600 S Dixie Hwy Ste B, West Palm Beach, FL 33405-2947 | 2018-04-11 |
| 1841534724 | Naseem Deen | Pediatrics | 9475 Lantern Bay Cir, West Palm Beach, FL 33411-5170 | 2012-11-16 |
| 1548541683 | Molina Healthcare of - Florida | Pediatrics | 944 S. Military Trail, West Palm Beach, FL 33415-3910 | 2011-09-02 |
| 1184862039 | Cresthaven Medical Center | Pediatrics | 4320 Forest Hill Blvd, West Palm Beach, FL 33406-5718 | 2009-01-30 |
| 1871768986 | Matthew D Ramirez | Pediatrics | 5325 Greenwood Ave., Suite 306, West Palm Beach, FL 33407 | 2008-04-29 |
| 1508047952 | Palm Beach Pediatrics, Pa | Pediatrics | 5589 Okeechobee Blvd Ste 201, West Palm Beach, FL 33417-4486 | 2007-11-14 |
| 1477616142 | Donald Thornton Drummond | Pediatrics | 2151 N Congress Ave, Suite 107, West Palm Beach, FL 33407-3283 | 2006-12-18 |
| 1639231640 | Griselda Grullon | Pediatrics | 4913 S Dixie Hwy, West Palm Beach, FL 33405-2926 | 2006-12-15 |
| 1336211911 | Scott Webb Osborne | Pediatrics | 901 45th Street S, West Palm Beach, FL 33407 | 2006-11-15 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33415 |
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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.