MATTHEW L FAZEKAS (NPI# 1639469463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639469463 |
| Entity Type | Individual |
| Full Name | MATTHEW L FAZEKAS |
| Credential | MD |
| Practice Address |
1150 N 35th Ave Suite 345 Hollywood FL 33021 |
| Mailing Address |
2900 Corporate Way Door D Miramar FL 33025-3925 |
| Practice Telephone | 9542656300 |
| Practice Fax Number | 9549613600 |
| Mailing Telephone | 9542765685 |
| Mailing Fax Number | 9549857074 |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2018-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080S0010X |
Pediatrics Specialization: Sports Medicine |
ME124479 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 015053000 | 05 |
| Street Address |
1150 N 35TH AVE SUITE 345 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336144641 | Hoang Duong | Radiology | 1150 N 35th Ave, Ste 300, Hollywood, FL 33021 | 2005-06-15 |
| 1457868861 | Archana John | Nurse Practitioner | 1150 N 35th Ave, Ste 300, Hollywood, FL 33021 | 2018-01-08 |
| 1003326281 | Fiorella Jahaira Saka | Nurse Practitioner | 1150 N 35th Ave, Suite 590, Hollywood, FL 33021-2118 | 2017-10-02 |
| 1790218865 | All Women's Healthcare, Inc | Obstetrics & Gynecology | 1150 N 35th Ave, Suite 550 B, Hollywood, FL 33021-5424 | 2017-04-06 |
| 1265972004 | Claudia Cortes | Physician Assistant | 1150 N 35th Ave, Suite 445, Hollywood, FL 33021-5424 | 2017-02-27 |
| 1669917837 | South Broward Hospital District | Internal Medicine | 1150 N 35th Ave, Hollywood, FL 33021-5424 | 2016-12-27 |
| 1114462207 | Lali B Parathalackal | Nurse Practitioner | 1150 N 35th Ave, Ste 460, Hollywood, FL 33021 | 2016-12-27 |
| 1598216681 | Sara Shemella | Physician Assistant | 1150 N 35th Ave, #575, Hollywood, FL 33021-5424 | 2016-10-24 |
| 1831542182 | Michael Medical Associates LLC | Internal Medicine | 1150 N 35th Ave, Suite 240, Hollywood, FL 33021-5424 | 2016-07-21 |
| 1821442922 | Layla Silverman | Dietitian, Registered | 1150 N 35th Ave, Suite 270, Hollywood, FL 33021-5424 | 2016-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| Taxonomy Code | 2080S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Sports Medicine |
| A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1134463482 | Panhandle Orthopaedics LLC | Pediatrics | 12909 Panama City Beach Pkwy, Panama City Beach, FL 32407 | 2012-11-26 |
| 1629394804 | Cassidy Macdowell Foley | Pediatrics | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2010-04-13 |
| 1780835397 | Elizabeth Davis Houston | Pediatrics | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2008-10-02 |
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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.