MR. JAIME MEJIA (NPI# 1780763565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780763565 |
| Entity Type | Individual |
| Full Name | MR. JAIME MEJIA |
| Credential | M.D. |
| Practice Address |
5920 Johnson St Suite 104 Hollywood FL 33021-5652 |
| Practice Telephone | 9548946022 |
| Practice Fax Number | 9548946023 |
| Mailing Telephone | 9548946022 |
| Mailing Fax Number | 9548946023 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2008-09-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME66279 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
5920 JOHNSON ST SUITE 104 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-5652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366987224 | Hearing Vision Foot Center | Optometrist | 5920 Johnson St, Suite 104, Hollywood, FL 33021-5652 | 2017-01-03 |
| 1093259459 | Scott Cook | Technician/Technologist | 5920 Johnson St, Suite 104, Hollywood, FL 33021-5652 | 2016-12-05 |
| 1700252624 | Evidence Base Medical | Internal Medicine | 5920 Johnson St, Suite 108, Hollywood, FL 33021-5652 | 2015-08-14 |
| 1982089389 | Denise Elizabeth Pryor Kruszynski | Nurse Practitioner | 5920 Johnson St, Hollywood, FL 33021 | 2015-07-27 |
| 1013222165 | Broward Medical Center Group, Inc | Clinic/Center | 5920 Johnson St, Ste 104, Hollywood, FL 33021-5652 | 2010-08-13 |
| 1598092314 | Invictus Medical Center Inc | Clinic/Center | 5920 Johnson St, Suite 108-110, Hollywood, FL 33021-5652 | 2009-11-16 |
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750592978 | Charles Johnson II | Radiology | 4601 Washington St, Hollywood, FL 33021-7647 | 2007-05-28 |
| 1427187459 | Physicians Imaging Center of Florida LLC | Radiology | 3800 Johnson Street, Suite B, Hollywood, FL 33021 | 2007-03-05 |
| 1912953274 | Bernard Greenspan | Radiology | 3900 N Hills Dr, 214, Hollywood, FL 33021-2545 | 2006-05-26 |
| 1912957697 | Sunrise Medical Group Inc | Radiology | 4925 Sheridan St, 200, Hollywood, FL 33021-2829 | 2006-05-11 |
| 1770586877 | Michael Roberts | Radiology | 3620 N 55th Ave, Hollywood, FL 33021-2344 | 2005-05-23 |
| 1265040604 | Total Mri & Diagnostic Center | Radiology | 4440 Sheridan St Ste C, Hollywood, FL 33021-3535 | 2020-07-22 |
| 1225651136 | Wellcare Clinical Services LLC | Radiology | 4835 Hollywood Blvd, Hollywood, FL 33021-6548 | 2020-05-26 |
| 1386069375 | Suncoast Medical Imaging LLC | Radiology | 2700 N 29th Ave, Unit 303a, Hollywood, FL 33020-1520 | 2014-02-27 |
| 1235460999 | Occupational Performance Center Inc. | Radiology | 4925 Sheridan St, Suite 100, Hollywood, FL 33021-2834 | 2010-01-20 |
| 1578719738 | Charles Johnson II Md Pa | Radiology | 4601 Washington St, Hollywood, FL 33021-7647 | 2008-08-07 |
| Find all providers in HOLLYWOOD | ||||
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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.