IHOR PIDHORECKY (NPI# 1689660367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689660367 |
| Entity Type | Individual |
| Full Name | IHOR PIDHORECKY |
| Credential | MD |
| Practice Address |
601 N Flamingo Rd Ste 409 Pembroke Pines FL 33028 |
| Mailing Address |
2900 Corporate Way Door D Miramar FL 33025-3925 |
| Practice Telephone | 9548444480 |
| Practice Fax Number | 9544475344 |
| Mailing Telephone | 9542765685 |
| Mailing Fax Number | 9549857074 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2018-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
ME80863 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 259419600 | 05 |
| Street Address |
601 N FLAMINGO RD STE 409 |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134607229 | Katherine Gomez | Nurse Practitioner | 601 N Flamingo Rd Ste 409, Pembroke Pines, FL 33028 | 2018-08-01 |
| 1508260498 | Erika Barbara Munoz | Nurse Practitioner | 601 N Flamingo Rd Ste 409, Pembroke Pines, FL 33028-1012 | 2014-10-21 |
| 1699185140 | Kristina Catherine Khazeni | Surgery | 601 N Flamingo Rd Ste 409, Pembroke Pines, FL 33028-1012 | 2014-05-06 |
| 1326332305 | Mia Shapiro | Surgery | 601 N Flamingo Rd Ste 409, Pembroke Pines, FL 33028-1012 | 2011-06-07 |
| 1275575854 | Emil Matei | Surgery | 601 N Flamingo Rd Ste 409, Pembroke Pines, FL 33028 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821570276 | Grace Olivine Lue | Nurse Practitioner | 2291 Nw 171 Terrace, Pembroke Pines, FL 33028 | 2018-09-02 |
| 1336658194 | Edna Daniel | Registered Nurse | 16213 Nw 18th Street, Pembroke Pines, FL 33028 | 2017-09-25 |
| 1093257032 | Carlos Eduardo Florian Jr. | Physical Therapist | 701 North Flamingo Road, Pembroke Pines, FL 33028 | 2016-11-08 |
| 1760868574 | Clara Elisa Delgado | Nurse Practitioner | 601 N Flamingo Road Suite 105, Pembroke Pines, FL 33028 | 2015-08-04 |
| 1942614375 | Emmanuel Magboo | Physical Therapist | 1563 Nw 159 Lane, Pembroke Pines, FL 33028 | 2014-06-13 |
| 1134546302 | Tahnie Danastor | Obstetrics & Gynecology | 601 N Flamingo Rd Ste 307, Pembroke Pines, FL 33028 | 2014-03-25 |
| 1316388200 | Mirella Silva-bass | Counselor | 2250 Nw 136 Ave # 100f, Pembroke Pines, FL 33028 | 2013-07-09 |
| 1932447364 | Grazia Oropesa | Nurse Practitioner | 12824 Nw 21st St, Pembroke Pines, FL 33028 | 2013-01-18 |
| 1548545320 | Rita Galliano | Speech-Language Pathologist | 1261 Nw 141st Ave, Pembroke Pines, FL 33028 | 2011-10-12 |
| 1033429949 | Paulette Paul | Registered Nurse | 15575 N.w. 12th Court, Pembroke Pines, FL 33028 | 2010-10-13 |
| Find all providers in zip 33028 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162228 | Florida Surgical Care LLC | Surgery | 2301 N University Dr Ste 204, Pembroke Pines, FL 33024-3617 | 2020-10-23 |
| 1588823751 | Omar Hidalgo Llaguna | Surgery | 601 N Flamingo Rd Ste 301, Pembroke Pines, FL 33028-1010 | 2008-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699234534 | Breast Specialists of South Florida, LLC | Surgery | 130 Jfk Dr Ste 132, Atlantis, FL 33462-1133 | 2019-03-19 |
| 1659755783 | Genesiscare Usa of Florida LLC | Surgery | 8925 Colonial Center Dr Ste 2000, Fort Myers, FL 33905-7813 | 2015-07-18 |
| 1114365244 | Ahkeel Ikadon Hasani Allen | Surgery | 7500 Sw 87th Ave Ste 201, Miami, FL 33173-5426 | 2013-06-11 |
| 1003150889 | Daniel A. Osman | Surgery | 2456 Bay Isle Ct, Weston, FL 33327-1410 | 2012-11-19 |
| 1073834883 | David H Owen Md Pa | Surgery | 2623 S Seacrest Blvd Ste 108, Boynton Beach, FL 33435-7531 | 2010-06-15 |
| 1598082521 | Neha Goel | Surgery | 1120 Nw 14th St Ste 450, Miami, FL 33136 | 2010-04-30 |
| 1235373846 | Paris Sabo | Surgery | 2109 60th St W Ste A, Bradenton, FL 34209-5526 | 2009-04-27 |
| 1356582381 | Bassan Jorge Allan | Surgery | 4571 Colonial Blvd Ste 100, Fort Myers, FL 33966 | 2009-03-21 |
| 1043474125 | Mount Sinai Medical Center Surgical Oncology, LLC | Surgery | 4306 Alton Rd Fl 2, Comprehensive Cancer Center, Miami Beach, FL 33140-2840 | 2008-07-17 |
| 1578762688 | Aeisha Kekhia Stimage Rivers | Surgery | 1951 Sw 172nd Ave Ste 313, Miramar, FL 33029-5614 | 2007-07-18 |
| Find all providers with the same taxonomy | ||||
| City | PEMBROKE PINES |
| Zip Code | 33028 |
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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.