ST. THOMAS UNIVERSITY, INC (NPI# 1689177099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689177099 |
| Entity Type | Organization |
| Organization Name | ST. THOMAS UNIVERSITY, INC |
| Other Organization Name | ST. THOMAS SPORTS MEDICINE |
| Practice Address |
16401 Nw 37th Ave Miami Gardens FL 33054-6313 |
| Mailing Address |
5050 Spring Valley Rd Dallas TX 75244-3995 |
| Practice Telephone | 9723674845 |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2018-03-12 |
| Authorized Official Name | MOUZON BASS III (ADMINISTRATOR) |
| Authorized Official Telephone | 9723674845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St. Thomas Sports Medicine | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST. THOMAS UNIVERSITY, INC. | 16401 Nw 37th Ave, Miami Gardens, FL 33054-6313 |
| Street Address |
16401 NW 37TH AVE |
| City | MIAMI GARDENS |
| State | FL |
| Zip Code | 33054-6313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063565109 | Scott Michael Freer | Specialist/Technologist | 16401 Nw 37th Ave, Miami Gardens, FL 33054-6313 | 2007-01-20 |
| 1942842463 | Kathleen Hernandez | Specialist/Technologist | 16401 Nw 37th Ave, Miami Gardens, FL 33054-6313 | 2019-10-16 |
| 1952954497 | Erica Alvarez Rosario | Specialist/Technologist | 16401 Nw 37th Ave, Miami Gardens, FL 33054-6313 | 2019-07-23 |
| 1326556127 | George Luis Fernandez | Specialist/Technologist | 16401 Nw 37th Ave, Miami Gardens, FL 33054-6313 | 2018-01-15 |
| 1336656354 | Daniel Zuluaga | Specialist/Technologist | 16401 Nw 37th Ave, Miami Gardens, FL 33054-6313 | 2017-12-29 |
| 1871013664 | Katherine Lineth Avalos | Specialist/Technologist | 16401 Nw 37th Ave, Miami Gardens, FL 33054-6313 | 2017-06-22 |
| 1336518182 | Catherine Gallant | Specialist/Technologist | 16401 Nw 37th Ave, Miami Gardens, FL 33054-6313 | 2015-09-23 |
| 1285056473 | Jessie Trice Community Health System Inc | Clinic/Center | 16401 Nw 37th Ave, Miami Gardens, FL 33054-6313 | 2014-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770148611 | Arc Dialysis North Dade LLC | Clinic/Center | 1986 Opa Locka Blvd, Opa Locka, FL 33054 | 2019-05-07 |
| 1497215735 | Empowering Minds, Inc | Community/Behavioral Health | 13311 Alexandria Dr, Opa Locka, FL 33054 | 2019-03-22 |
| 1366976672 | Center for Family and Child Enrichment Inc. | Community/Behavioral Health | 3999 Northwest 163st, Miami, FL 33054 | 2017-04-13 |
| 1861924748 | Yudeslanni Fernandez Lang | Behavior Technician | 2970 Nw 161 St, Miami, FL 33054 | 2017-03-30 |
| 1811439862 | Ana Alfaro | Behavior Technician | 1155 Kasin St, Opa Locka, FL 33054 | 2016-11-08 |
| 1114376795 | Yanelis Diaz Rodriguez | Behavior Technician | 13920 Nw 22nd Pl, Opa Locka, FL 33054 | 2016-06-06 |
| 1912392986 | Angel Yasiel Ramos | Internal Medicine | 1986 Opa-locka Boulevard, Opa-locka, FL 33054 | 2015-04-06 |
| 1992109409 | Taylor Wilmoth | Specialist/Technologist | 15600 Nw 32nd Avenue, Attn: Taylor Wilmoth, Miami, FL 33054 | 2014-10-13 |
| 1265844997 | J.s Rx Inc | Pharmacy | 1970 Opa Locka Blvd, Opa Locka, FL 33054 | 2014-05-29 |
| 1689877508 | Nuevo Renacer Alf,corp. | Assisted Living Facility | 540 N. Perviz Avenue, Opa Locka, FL 33054 | 2007-06-07 |
| Find all providers in zip 33054 | ||||
| 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 |
|---|---|---|---|---|
| 1174941959 | Jaime Arnoldo Bichara Tobar | Family Medicine | 1825 Nw 167th St Ste 109, Miami Gardens, FL 33056-4838 | 2014-03-31 |
| 1619006574 | Dr Moses O Alade Md Pa | Family Medicine | 838 Nw 183rd St, Suite 102, Miami Gardens, FL 33169-4203 | 2007-03-05 |
| 1619011228 | Anselmo Manuel Mendive, Md. Pa. | Family Medicine | 4601 Nw 199th St, Suite E, Miami Gardens, FL 33055-1508 | 2007-02-16 |
| 1750302626 | Prime Health Medical Center LLC | Family Medicine | 18250 Nw 2nd Avenue, Suite 202, Miami Gardens, FL 33169 | 2006-07-23 |
| 1730131046 | Curtis E. Wilkinson | Family Medicine | 17560 Nw 27th Avenue, Suite 106, Miami Gardens, FL 33056 | 2006-05-16 |
| 1578108585 | Lc Health Management LLC | Family Medicine | 4799 Nw 183rd St, Miami Gardens, FL 33055-2933 | 2019-11-13 |
| 1366913238 | Amg Group Service Corp | Family Medicine | 99 Nw 183rd St Ste 241e, Miami Gardens, FL 33169-4551 | 2018-12-17 |
| 1811471774 | Oneplus Healthcare Group, LLC | Family Medicine | 581 Nw 183rd St, Miami Gardens, FL 33169-4469 | 2018-09-18 |
| 1386135564 | Oneplus Medical Centers, LLC. | Family Medicine | 581 Nw 183rd St, Miami Gardens, FL 33169-4469 | 2018-05-23 |
| 1730614421 | Aaron Medical Group Corp | Family Medicine | 19509 Nw 57th Ave, Miami Gardens, FL 33055-4709 | 2017-05-01 |
| Find all providers in MIAMI GARDENS | ||||
| City | MIAMI GARDENS |
| Zip Code | 33054 |
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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.