KIDS CARDIAC CENTER PA (NPI# 1841428919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841428919 |
| Entity Type | Organization |
| Organization Name | KIDS CARDIAC CENTER PA |
| Practice Address |
2627 Ne 203rd St Suite 215 Miami FL 33180-1900 |
| Practice Telephone | 3059333035 |
| Practice Fax Number | 3059338035 |
| Mailing Telephone | 3059333035 |
| Mailing Fax Number | 3059338035 |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2010-10-10 |
| Authorized Official Name | JACK W BANDEL (DIRECTOR) |
| Authorized Official Telephone | 3059333035 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 000945500 | 05 |
| Street Address |
2627 NE 203RD ST SUITE 215 |
| City | MIAMI |
| State | FL |
| Zip Code | 33180-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013908110 | Louise Center | Social Worker | 2627 Ne 203rd St, Suite# 211, Miami, FL 33180-1900 | 2005-10-31 |
| 1902316268 | Sasha Melisa Alvarez | Nurse Practitioner | 2627 Ne 203rd St, Miami, FL 33180-1900 | 2017-10-01 |
| 1326586439 | Rebecca Mclaughlin | Physician Assistant | 2627 Ne 203rd St, Suite 102, Miami, FL 33180-1900 | 2017-02-09 |
| 1982059861 | Fort Lauderdale Dbt | Counselor | 2627 Ne 203rd St, Suite 214, Miami, FL 33180-1900 | 2016-04-28 |
| 1619363785 | Dr. Elise Kramer, O.d. LLC | Optometrist | 2627 Ne 203rd St, Suite 116, Miami, FL 33180-1900 | 2015-04-15 |
| 1760872972 | Elizabeth Nitsch | Psychologist | 2627 Ne 203rd St, #100, Miami, FL 33180-1900 | 2015-01-26 |
| 1881096121 | David Brown & Associates, Pa | Clinic/Center | 2627 Ne 203rd St, Suite 109, Miami, FL 33180-1900 | 2014-09-18 |
| 1679823454 | Elise Gabrielle Kramer | Optometrist | 2627 Ne 203rd St, #116, Miami, FL 33180-1900 | 2012-09-19 |
| 1023332764 | Ronald L. Bergman, Ph.d., P.a. | Psychologist | 2627 Ne 203rd St, S-214, Miami, FL 33180-1900 | 2010-03-24 |
| 1619137643 | Russell Allen Slone | Massage Therapist | 2627 Ne 203rd St, 214, Miami, FL 33180-1946 | 2008-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720607849 | Nabeel Rahman Khan | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Boulevard, Avetura, Fl, Aventura, FL 33180 | 2020-04-09 |
| 1235766841 | Hanny Hausmann | Counselor | 2999 Ne 191 Street, Suite 902, Aventura, FL 33180 | 2020-03-24 |
| 1760976369 | Michael Ernest Molino | Optometrist | 19575 Biscayne Blvd Ste 579, Aventura, FL 33180 | 2018-06-18 |
| 1932602620 | Carmen Somarriba | Physician Assistant | 21110 Biscayne Blvd Bldg Suite400, Aventura, FL 33180 | 2018-03-09 |
| 1235631474 | Premier Florida Podiatry, Pa | Podiatrist | 3060 Ne 190th St Apt 202, Aventura, FL 33180 | 2018-03-04 |
| 1891229126 | Ifrah Zahid Butt | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd., Aventura, FL 33180 | 2017-04-13 |
| 1629500129 | Hector Hugo Gonzalez | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, South Tower, #807, Aventura Hospital and Medical Center, Aventura, FL 33180 | 2017-04-03 |
| 1457892671 | Nusen Beer | Internal Medicine | 20200 W Dixie Hwy Ste 701, Aventura, FL 33180 | 2017-03-20 |
| 1073052338 | Alfa Diagnostic LLC | Point of Service | 21355 E Dixie Hwy Ste 101, Aventura, FL 33180 | 2017-02-20 |
| 1598211740 | Katherine Mendez-martinez | Nurse Practitioner | 2925 Aventura Blvd. Suite 101, Aventura, FL 33180 | 2016-08-28 |
| Find all providers in zip 33180 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124446182 | Kinjal Parikh | Pediatrics | 3100 Sw 62nd Ave Dept of Medical Education, Miami, FL 33155 | 2014-04-06 |
| 1295874113 | Ramon Rodriguez-torres | Pediatrics | 13911 Sw 103rd Ave, Miami, FL 33176-6614 | 2007-02-06 |
| 1710998026 | Jose Luis Pumarino | Pediatrics | 3659 South Miami Ave, 3002, Miami, FL 33133 | 2006-08-11 |
| 1922035591 | Peter L. Ferrer Sr. | Pediatrics | 1611 Nw 12th Ave Ste 109, Jackson Memorial Hospital Holtz Childrens Hospital, Miami, FL 33136-1005 | 2006-06-27 |
| 1598722126 | Danyal M Khan | Pediatrics | 3100 S.w. 62 Avenue, Miami, FL 33155-3009 | 2006-04-27 |
| 1457965345 | Pediatric Specialty Group, Inc. | Pediatrics | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2020-09-08 |
| 1306459177 | Pediatric Specialty Group, Inc. | Pediatrics | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2020-08-31 |
| 1003360959 | Pediatric Specialty Group, Inc. | Pediatrics | 3100 Sw 62nd Ave, 2nd Floor, Suite A- Department of Cardiology, Miami, FL 33155 | 2016-08-09 |
| 1124475082 | Kidz Medical Servies, Inc | Pediatrics | 8955 Sw 87th Ct, Suite 104, Miami, FL 33176-2230 | 2016-05-20 |
| 1659716686 | Courtney Elyse Wein | Pediatrics | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2013-05-03 |
| Find all providers in MIAMI | ||||
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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.