PIERRE ETIENNE PEAN (NPI# 1710013990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710013990 |
| Entity Type | Individual |
| Full Name | PIERRE ETIENNE PEAN |
| Credential | MD |
| Practice Address |
1957 Jackson St Hollywood FL 33020-5021 |
| Mailing Address |
4740 N State Road 7 Lauderdale Lakes FL 33319-5839 |
| Practice Telephone | 9549272393 |
| Practice Fax Number | 9544973857 |
| Mailing Telephone | 9544864005 |
| Mailing Fax Number | 9544973857 |
| Enumeration Date | 2007-02-24 |
| Last Update Date | 2017-11-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | ME0062634 | FL | Other Service Providers |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
ME62364 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 371158700 | 05 |
| Street Address |
1957 JACKSON ST |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33020-5021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104924919 | Marta Angelica Covache | Specialist | 1957 Jackson St, Hollywood, FL 33020-5021 | 2006-09-20 |
| 1083103410 | Norma Elaine Harrisingh-fieldings | Social Worker | 1957 Jackson St, Hollywood, FL 33020 | 2018-05-01 |
| 1063925709 | Caroline Duarte | Counselor | 1957 Jackson St, Hollywood, FL 33020-5021 | 2017-11-15 |
| 1487185237 | Joanes St. Surin | Case Manager/Care Coordinator | 1957 Jackson St, Hollywood, FL 33020-5021 | 2017-03-23 |
| 1710363189 | Cristina Castellanos | Social Worker | 1957 Jackson St, Hollywood, FL 33020-5021 | 2015-08-07 |
| 1134502578 | Tatayana Maltseva | Nurse Practitioner | 1957 Jackson St, Hollywood, FL 33020-5021 | 2015-07-02 |
| 1992184923 | Adrienn Nagy | Counselor | 1957 Jackson St, Hollywood, FL 33020-5021 | 2015-05-22 |
| 1891130530 | Francis Griffith | Nurse Practitioner | 1957 Jackson St, Hollywood, FL 33020-5021 | 2013-05-08 |
| 1528239688 | Jeanette Vinov Steinberg | Nurse Practitioner | 1957 Jackson St, Hollywood, FL 33020-5021 | 2008-03-17 |
| 1528197654 | Jeanine Donaldson Nix | Counselor | 1957 Jackson St, Hollywood, FL 33020-5021 | 2007-03-05 |
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| 1629694203 | Oaks Medical Group, LLC | Internal Medicine | 2854 Jackson St, Hollywood, FL 33020 | 2020-06-19 |
| 1487217949 | Yaneisy Correa Vento Sr. | Nurse Practitioner | 2700 E Hollywood Blud, Hollywood, FL 33020 | 2019-04-19 |
| 1811453590 | Sandra's Car Service LLC | Non-emergency Medical Transport (VAN) | 2048 Mckinley St. Bay #1, Hollywood, FL 33020 | 2019-02-18 |
| 1134605330 | Cruz Ines Diaz | Peer Specialist | 3400 N- 29th Avenue, Hollywood, FL 33020 | 2018-07-11 |
| 1598258451 | Brian Tran | Dentist | 1704 Stirling Rd., Hollywood, FL 33020 | 2018-06-14 |
| 1295223451 | Broward Treatment Center | Substance Abuse Rehabilitation Facility | 1101 S 21 Ave, Hollywood, FL 33020 | 2018-04-24 |
| 1033617220 | Laura Goldman | Psychologist | 2514 Hollywood Blvd Ste 404, Hollywood, FL 33020 | 2018-01-23 |
| 1205344835 | Sunshine Health Supplies LLC | Durable Medical Equipment & Medical Supplies | 1926 Hollywood Blvd Ste 204, Hollywood, FL 33020 | 2018-01-17 |
| 1124536222 | Melina Rodriguez | Counselor | 3400 N 29th Avenue, Hollywood, FL 33020 | 2018-01-11 |
| 1003337783 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 1776 Polk St., Hollywood, FL 33020 | 2017-07-03 |
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| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730575549 | Integrated Mind Medicine | Psychiatry & Neurology | 1946 Tyler St, Suite 14, Hollywood, FL 33020-4517 | 2015-04-08 |
| 1902198864 | Alfredo Bolasini | Psychiatry & Neurology | 4040 N Hills Dr, Suite 32, Hollywood, FL 33021-2464 | 2011-05-11 |
| 1629211560 | Yves S Eveillard | Psychiatry & Neurology | 3420 Nw 91st Ave, Hollywood, FL 33024-8178 | 2009-04-08 |
| 1124201421 | Ramsey Kay Pevsner Pa | Psychiatry & Neurology | 301 Desoto St, Hollywood, FL 33019-4519 | 2007-12-10 |
| 1326163775 | Barnell Phillips IIi | Psychiatry & Neurology | 3400 N. 29th Avenue, Hollywood, FL 33020 | 2007-03-21 |
| 1558493445 | Richard Wender Levin | Psychiatry & Neurology | 3810 Hollywood Blvd, #2, Hollywood, FL 33021 | 2007-03-09 |
| 1932298767 | Gary S Magid | Psychiatry & Neurology | 4740 N 37th St, Hollywood, FL 33021-2237 | 2006-10-12 |
| 1144243221 | Thomas Henry Macaluso | Psychiatry & Neurology | 4600 Sheridan St, Suite 400, Hollywood, FL 33021-3409 | 2006-07-26 |
| 1356387617 | Arnold Stanley Zager | Psychiatry & Neurology | 3810 Hollywood Boulevard, Suite 2, Hollywood, FL 33021-6730 | 2006-06-22 |
| 1679511505 | Jorge Luis Sotelo | Psychiatry & Neurology | 3501 Johnson St Fl 2, Hollywood, FL 33021-5421 | 2006-06-03 |
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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.