DR. MATHULLA GEEVARGHESE (NPI# 1730165853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730165853 |
| Entity Type | Individual |
| Full Name | DR. MATHULLA GEEVARGHESE |
| Credential | MD |
| Practice Address |
1101 N.w -134 Avenue Sunrise FL 33323-2914 |
| Mailing Address |
1101 N-w-134 Ave Sunrise FL 33323-2914 |
| Practice Telephone | 9548467588 |
| Mailing Telephone | 9548467588 |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2014-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME63605 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 372687800 | 05 |
| Street Address |
1101 N.W -134 AVENUE |
| City | SUNRISE |
| State | FL |
| Zip Code | 33323-2914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427605088 | Global Wellness LLC | Clinical Neuropsychologist | 1560 Sawgrass Corporate Parkway #447, Sunrise, FL 33323 | 2019-08-19 |
| 1740785062 | Rodolfo Walse Asis Jr. | Physical Medicine & Rehabilitation | 1580 Sawgrass Corporate Parkway, Suite 200, Sunrise, FL 33323 | 2018-03-28 |
| 1558890913 | Juliana Andrea Duque | Technician, Health Information | 11301 Nw 29th Street, Sunrise, FL 33323 | 2017-06-08 |
| 1487183026 | Alejandra Lamardo | Specialist/Technologist | 3634 Nw 122nd Ter, Sunrise, FL 33323 | 2017-06-07 |
| 1831630623 | Kayode David Ojetola | Physical Therapist | 1580 Sawgrass Corporate Parkway, Sunrise, FL 33323 | 2017-03-14 |
| 1467990770 | Gerardo Pre Dinglasan Jr. | Physical Therapist | 1580 Sawgrass Corporate Parkway Suite 200, Parkway Suite 200, Sunrise, FL 33323 | 2017-02-07 |
| 1184161630 | Praveen Mishra | Physical Therapist | 1580 Sawgrass Corp Parkway, Suite 200, Sunrise, FL 33323 | 2017-01-23 |
| 1770029183 | Corahealinghands Psychiatric Services Inc | Nurse Practitioner | 14421 West Sunrise Boulevard Suite, 208, Sunrise, FL 33323 | 2017-01-09 |
| 1558718916 | Shirley Freckleton-williams | Nurse Practitioner | 13110 Nw 11th Drive, Sunrise, FL 33323 | 2016-05-16 |
| 1376927525 | Tai Lyn Auras | Nurse Practitioner | 14050 Nw 14th Street, Suite 190, Fort Lauderdale, FL 33323 | 2015-07-17 |
| Find all providers in zip 33323 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003072760 | Mahreen A Siddiqui | Pediatrics | 1500 Concord Terrace, 5th Floor, Sunrise, FL 33323-3009 | 2008-08-01 |
| 1457480691 | South Florida Medical Centers Inc | Pediatrics | 14201 W. Sunriseblvd, Unit 207, Sunrise, FL 33323 | 2007-03-05 |
| 1912983123 | Maria Carmen Antigua | Pediatrics | 1613 N. Harrison Parkway, Sunrise, FL 33323 | 2005-12-20 |
| 1306835962 | Lourdes A Alamo | Pediatrics | 4279 Nw 88th Ave, Sunrise, FL 33351-6044 | 2005-10-17 |
| 1336137579 | Jan N Arango | Pediatrics | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2005-10-12 |
| 1770586919 | Jeffery S Gordon | Pediatrics | 1300 Sawgrass Corporate Parkway, Ste 200, Sunrise, FL 33323-2823 | 2005-05-23 |
| 1437565371 | Zulma Nereida Zorrilla Pabon | Pediatrics | 4279 N Pine Island Rd, Sunrise, FL 33351-6044 | 2014-07-10 |
| 1053578856 | Jean Yves Laurore | Pediatrics | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2008-05-20 |
| 1740459692 | Dara Varga Dallas | Pediatrics | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2008-02-25 |
| 1982899399 | Laura Linnette Aviles-medina | Pediatrics | 1613 Harrison Pkwy, Ste 200, Sunrise, FL 33323-2896 | 2007-09-10 |
| Find all providers in SUNRISE | ||||
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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.