POMPANO ER PEDIATRICS LLC (NPI# 1669475349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669475349 |
| Entity Type | Organization |
| Organization Name | POMPANO ER PEDIATRICS LLC |
| Practice Address |
201 E Sample Rd Pompano Er Pediatrics Pompano Beach FL 33064-3502 |
| Mailing Address |
3114 Croasdaile Dr Ste 200 Pompano Er Pediatrics LLC Durham NC 27705-2508 |
| Practice Telephone | 9547686800 |
| Practice Fax Number | 9194250478 |
| Mailing Telephone | 9194251565 |
| Mailing Fax Number | 9194250478 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2009-05-27 |
| Authorized Official Name | DR. STEVEN M SCOTT (PRESIDENT CEO) |
| Authorized Official Telephone | 9194251565 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
ME39895 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 269936200 | 05 |
| Street Address |
201 E SAMPLE RD POMPANO ER PEDIATRICS |
| City | POMPANO BEACH |
| State | FL |
| Zip Code | 33064-3502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942773296 | Kathryn Imbordino | Nurse Anesthetist, Certified Registered | 201 E Sample Rd, Pompano Beach, FL 33064-3502 | 2019-01-09 |
| 1710468269 | Matthew Steven Hartwig | Pharmacist | 201 E Sample Rd, Pompano Beach, FL 33064-3502 | 2018-08-23 |
| 1629560321 | Nicole Sayed | Nurse Anesthetist, Certified Registered | 201 E Sample Rd, Pompano Beach, FL 33064-3502 | 2018-05-30 |
| 1245721273 | Tahsana Soares | Registered Nurse | 201 E Sample Rd, Pompano Beach, FL 33064-3502 | 2018-05-25 |
| 1619485182 | Jessica Whelan | Nurse Anesthetist, Certified Registered | 201 E Sample Rd, Pompano Beach, FL 33064-3502 | 2018-01-17 |
| 1386152429 | Navia A Edwards | Nurse Anesthetist, Certified Registered | 201 E Sample Rd, Pompano Beach, FL 33064-3502 | 2018-01-10 |
| 1225495211 | Resha Ruddock | Nurse Anesthetist, Certified Registered | 201 E Sample Rd, Pompano Beach, FL 33064-3502 | 2016-01-21 |
| 1891169389 | North Broward Hospital District | Clinic/Center | 201 E Sample Rd, 1st Floor, Main Lobby Area, Pompano Beach, FL 33064-3502 | 2015-11-20 |
| 1447634480 | Naval Parikh Pa | Internal Medicine | 201 E Sample Rd, Medical Staff Office, Pompano Beach, FL 33064-3502 | 2015-07-18 |
| 1508202086 | Robert Lopez | Orthopaedic Surgery | 201 E Sample Rd, Pompano Beach, FL 33064-3502 | 2013-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790398865 | I Heart Senior and Disable Services LLC | Day Training, Developmentally Disabled Services | 4331 Ne 6th Ave, Pompano Beach, FL 33064 | 2020-08-28 |
| 1912554437 | Nada Boskovic Md Pa | Internal Medicine | 1 W Sample Road, Suite 305, Pompano Beach, FL 33064 | 2019-08-20 |
| 1922562933 | Bless Medical Center Corp | Family Medicine | 440 E Sample Road Suite 107, Pompano Beach, FL 33064 | 2019-01-23 |
| 1568932598 | Cloann Joseph | Occupational Therapy Assistant | 401 E Sample Road, Deerfield Beach, FL 33064 | 2018-12-03 |
| 1255808788 | Select Rehab | Skilled Nursing Facility | 401 Sample Road, Pompano Beach, FL 33064 | 2018-11-02 |
| 1699283515 | Nancy Emilia Santiago | Behavior Technician | 600 Nw 33 St, Pompano Beach, FL 33064 | 2018-01-12 |
| 1194248112 | Mark Walter Gruber I | Counselor | 100 E Sample Rd., #320, Pompano Beach, FL 33064 | 2017-07-21 |
| 1699221531 | Precision Construction & Design Services Inc | Contractor | 1711 B Nw 33 Street, Pompano Beach, FL 33064 | 2016-08-31 |
| 1841645587 | Julia Kyung Yoo, Inc | Point of Service | 4510 N. Federal Hwy, Lighthouse Point, FL 33064 | 2016-05-02 |
| 1487050969 | Michael Sassine | Podiatrist | 2100 Ne 36th St Ste 203, Lighthouse Point, FL 33064 | 2014-11-12 |
| Find all providers in zip 33064 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285990515 | Nadya Telt | Pediatrics | 2502 W Saint Isabel St Ste B, Tampa, FL 33607 | 2012-04-11 |
| 1801047352 | Efren A Salinero | Pediatrics | 1014 W Harvard St, Orlando, FL 32804-5208 | 2008-10-02 |
| 1730356007 | Lazaro C. Daud | Pediatrics | 5955 Ponce De Leon, Coral Gables, FL 33146 | 2008-05-14 |
| 1194946228 | Thomas Joseph Abrunzo | Pediatrics | 2706 Fountain Boulevard, Tampa, FL 33609-4010 | 2007-05-02 |
| 1508893124 | Mary Deffner Patterson | Pediatrics | 1600 Sw Archer Rd # 100186, Gainesville, FL 32610-3003 | 2006-06-27 |
| 1689637589 | Jean Ernst Jean Baptiste | Pediatrics | 7970 Summerlin Lakes Dr Ste 200, Ft Myers, FL 33907 | 2006-04-11 |
| 1700351863 | Kidz Medical Srv | Pediatrics | 9200 Bonita Beach Rd Se Ste 106, Bonita Springs, FL 34135-4254 | 2018-10-04 |
| 1629571062 | Michelle Villanueva Gutierrez | Pediatrics | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2018-03-12 |
| 1912361122 | Nicole Saizon Hardy | Pediatrics | 1329 Sw 16th St, Room 5270, Gainesville, FL 32610-0186 | 2016-04-13 |
| 1407218613 | Angelica Monique Johnson | Pediatrics | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2016-03-26 |
| Find all providers with the same taxonomy | ||||
| City | POMPANO BEACH |
| Zip Code | 33064 |
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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.