MR. EDERT B. ORTIZ (NPI# 1801096862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801096862 |
| Entity Type | Individual |
| Full Name | MR. EDERT B. ORTIZ |
| Credential | PA-C |
| Practice Address |
824 S Federal Hwy Hollywood FL 33020-5438 |
| Practice Telephone | 9549215553 |
| Practice Fax Number | 9549215582 |
| Mailing Telephone | 9549215553 |
| Mailing Fax Number | 9549215582 |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2007-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA0002710 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
824 S FEDERAL HWY |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33020-5438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922046804 | Donald J Weiss | Family Medicine | 824 S Federal Hwy, Hollywood, FL 33020-5438 | 2006-06-03 |
| 1033666045 | Winnie Manlai Wong | Nurse Practitioner | 824 S Federal Hwy, Hollywood, FL 33020 | 2016-09-07 |
| 1023211471 | Leung Health Care Hollywood Inc. | Family Medicine | 824 S Federal Hwy, Hollywood, FL 33020-5438 | 2007-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| Find all providers in zip 33020 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629608047 | Sadelyn De Los Santos | Physician Assistant | 251 N 71st Ter, Hollywood, FL 33024-7364 | 2020-01-24 |
| 1306486873 | Selina Batchanoo | Physician Assistant | 2310 Mckinley St, Hollywood, FL 33020-3057 | 2020-01-13 |
| 1972168706 | Kelly Maria Munoz | Physician Assistant | 4102 Trenton Ave, Hollywood, FL 33026-4924 | 2019-05-07 |
| 1982268132 | Michelle Vann | Physician Assistant | 4501 Johnson St, Hollywood, FL 33021-5311 | 2019-04-23 |
| 1023587839 | Mithra Moon | Physician Assistant | 1600 Vine St Apt 543, Hollywood, CA 90028-8825 | 2018-11-21 |
| 1447741509 | Franziska Goetz | Physician Assistant | 3550 Washington St Apt 512, Hollywood, FL 33021-8264 | 2018-05-24 |
| 1740730779 | Priya Philip | Physician Assistant | 4184 Cascada Cir, Hollywood, FL 33024-8516 | 2016-10-13 |
| 1215480488 | Robyn Dauerman | Physician Assistant | 4340 Sheridan St Ste 201, Hollywood, FL 33021-3568 | 2016-07-25 |
| 1881066272 | Mariana Racovita | Physician Assistant | 3700 Washington St Ste 404, Hollywood, FL 33021-8249 | 2015-10-23 |
| 1902132145 | Kimberly Ann Monahan | Physician Assistant | 3440 Hollywood Blvd., Suite 460, Hollywood, FL 33021 | 2009-10-22 |
| 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.