CHILDRENS MEDICAL CENTER (NPI# 1710034376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710034376 |
| Entity Type | Organization |
| Organization Name | CHILDRENS MEDICAL CENTER |
| Practice Address |
4651 Sheridan St Suite 270 Hollywood FL 33021-3457 |
| Practice Telephone | 9549896000 |
| Practice Fax Number | 9543784775 |
| Mailing Telephone | 9549896000 |
| Mailing Fax Number | 9543784775 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2008-10-14 |
| Authorized Official Name | DR. THEODORE MORRISON (PRESIDENT) |
| Authorized Official Telephone | 9549896000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | ME14634 | FL | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 060425900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629238456 | Childrens Medical Center | Special Hospital | 1800 Rice Mine Rd N, Tuscaloosa, AL 35406-2383 | 2008-06-16 |
| 1154485415 | Childrens Medical Center | Specialist | 5488 N Alabama Ave, Omega, GA 31775-3054 | 2006-12-21 |
| 1881763068 | Childrens Medical Center | Specialist | 131 Commonwealth Dr, Suite 310, Greenville, SC 29615-4883 | 2006-11-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHILDRENS MEDICAL CENTER OF TUCSON | 5861 N Oracle Rd, Tucson, AZ 85704-3813 |
| Street Address |
4651 SHERIDAN ST SUITE 270 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-3457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053308460 | Alan D Mendelsohn | Ophthalmology | 4651 Sheridan St, Suite 100, Hollywood, FL 33021-3457 | 2005-09-30 |
| 1265834881 | Care Optimum Family Health Services, LLC | Family Medicine | 4651 Sheridan St, Suite 250, Hollywood, FL 33021-3457 | 2014-09-25 |
| 1699017970 | Carolina Jaramillo | Pediatrics | 4651 Sheridan St, Suite 270, Hollywood, FL 33021-3457 | 2013-03-25 |
| 1528312527 | Lindsey C Seminara | Physician Assistant | 4651 Sheridan St, #150, Hollywood, FL 33021-3457 | 2012-10-30 |
| 1003174269 | Melanie Areopagita | Pediatrics | 4651 Sheridan St, Suite # 270, Hollywood, FL 33021-3457 | 2012-04-25 |
| 1982978235 | Milana Kaplan Md Pa | Psychiatry & Neurology | 4651 Sheridan St, Suite 450, Hollywood, FL 33021-3457 | 2012-03-05 |
| 1477858934 | Mendelsohn Eye Center Pa | Ophthalmology | 4651 Sheridan St, Suite 100, Hollywood, FL 33021-3457 | 2011-01-14 |
| 1740583582 | Christina Maria Zafiris | Clinical Neuropsychologist | 4651 Sheridan St, Ste 150, Hollywood, FL 33021-3457 | 2010-12-17 |
| 1851525984 | Joseph William Melendez-davidson | Surgery | 4651 Sheridan St, Suite 350, Hollywood, FL 33021-3457 | 2009-05-04 |
| 1952542987 | Karla Sylvia Gil | Pediatrics | 4651 Sheridan St, Suite 270, Hollywood, FL 33021-3457 | 2009-03-22 |
| 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 | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548728397 | Power Md Mso LLC | Exclusive Provider Organization | 4000 N 37th Ave, Hollywood, FL 33021-1927 | 2019-03-11 |
| 1982101044 | Dk Md, Inc. | Exclusive Provider Organization | 4302 Hollywood Blvd # 267, Hollywood, FL 33021-6635 | 2018-04-06 |
| 1992117600 | Broward Palm Medical Center 1, LLC | Exclusive Provider Organization | 6849 Taft Street, Hollywood, FL 33024 | 2014-05-29 |
| 1306195185 | Devereux | Exclusive Provider Organization | 6365 Taft St. Suite 2002, Hollywood, FL 33024 | 2012-09-07 |
| 1750681052 | Vandor Geriatric Homecare Inc. | Exclusive Provider Organization | 2110 N 46th Avenue, Hollywood, FL 33021-4161 | 2010-11-02 |
| 1336490960 | Lft Management, Inc. | Exclusive Provider Organization | 4030 Sheridan St, Ste A, Hollywood, FL 33021-3564 | 2012-09-22 |
| 1083945919 | Taft Rehab Center | Exclusive Provider Organization | 6517 Taft St, 200, Hollywood, FL 33024-4050 | 2010-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780362 | South Florida Physician Network, LLC | Exclusive Provider Organization | 5000 Sw 75th Ave Ste 202, Miami, FL 33155-4468 | 2020-11-02 |
| 1164040598 | Ito Medical, LLC | Exclusive Provider Organization | 79 Sw 12th St Apt 1511, Miami, FL 33130-5203 | 2020-07-13 |
| 1588292882 | Clarity Dx, Inc. | Exclusive Provider Organization | 1111 Latta Ln, Orlando, FL 32804-6335 | 2020-03-31 |
| 1871126102 | First Harbour Health Management, LLC | Exclusive Provider Organization | 7320 Delainey Ct, Lakewood Ranch, FL 34240-8445 | 2020-02-14 |
| 1295378271 | Community Health Services, Inc | Exclusive Provider Organization | 15315 Nw 60th Ave Ste E, Miami Lakes, FL 33014-2440 | 2019-10-23 |
| 1447808894 | Doctorology, LLC | Exclusive Provider Organization | 6440 Southpoint Pkwy Ste 300, Jacksonville, FL 32216-8003 | 2019-08-29 |
| 1851943591 | Attesor Mso LLC | Exclusive Provider Organization | 3350 Sw 148th Ave Ste 146, Miramar, FL 33027-3257 | 2019-07-12 |
| 1225690563 | Annie Saika Lucien | Exclusive Provider Organization | 2341 Nw 38th Ter, Lauderdale Lakes, FL 33311-2650 | 2019-07-08 |
| 1023575495 | Premiermd Sim, LLC | Exclusive Provider Organization | 3465 Galt Ocean Dr Ste 203, Ft Lauderdale, FL 33308-7077 | 2019-02-21 |
| 1215401872 | Truhealth Network LLC | Exclusive Provider Organization | 140 N Westmonte Dr Ste 100, Altamonte Springs, FL 32714-3340 | 2019-01-17 |
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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.